Love And Light Counseling Llc | |
11207 W Dodge Rd Ste 250 Omaha NE 68154-2650 | |
(402) 578-5140 | |
Not Available |
Full Name | Love And Light Counseling Llc |
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Speciality | Counselor |
Location | 11207 W Dodge Rd Ste 250, Omaha, Nebraska |
Authorized Official Name and Position | Christine Fong Swinney (OWNER) |
Authorized Official Contact | 4025785140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Love And Light Counseling Llc 2514 S 152nd Avenue Cir Omaha NE 68144-1912 Ph: (402) 578-5140 | Love And Light Counseling Llc 11207 W Dodge Rd Ste 250 Omaha NE 68154-2650 Ph: (402) 578-5140 |
NPI Number | 1326747031 |
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Provider Enumeration Date | 03/01/2023 |
Last Update Date | 03/01/2023 |
Certification Date | 03/01/2023 |
Medicare PECOS PAC ID | 3476093899 |
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Medicare Enrollment ID | O20240911003229 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326747031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Christine Fong Swinney |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1205396934 PECOS PAC ID: 4385184704 Enrollment ID: I20240911003315 |
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