Mallett Counseling, Inc. | |
13504 Stevens St Suite A Omaha NE 68137-1634 | |
(402) 894-9805 | |
(402) 894-1015 |
Full Name | Mallett Counseling, Inc. |
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Speciality | Counselor - Mental Health |
Location | 13504 Stevens St, Omaha, Nebraska |
Authorized Official Name and Position | Teresa Lynn Mallett (OWNER/COUNSELOR) |
Authorized Official Contact | 4028949805 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mallett Counseling, Inc. 13504 Stevens St Suite A Omaha NE 68137-1634 Ph: (402) 894-9805 | Mallett Counseling, Inc. 13504 Stevens St Suite A Omaha NE 68137-1634 Ph: (402) 894-9805 |
NPI Number | 1326469933 |
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Provider Enumeration Date | 12/27/2013 |
Last Update Date | 12/27/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326469933 | NPI | - | NPPES |
10025687200 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 194 (Nebraska) | Primary |
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