| Misty A Gasa | |
|
7155 S 41st Ter Bellevue NE 68147-1056 | |
| (402) 515-5281 | |
| (308) 832-4958 |
| Full Name | Misty A Gasa |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7155 S 41st Ter, Bellevue, Nebraska |
| Authorized Official Name and Position | Misty A Gasa (OWNER/PROVIDER) |
| Authorized Official Contact | 4025155281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Misty A Gasa 7155 S 41st Ter Bellevue NE 68147-1056 Ph: (402) 515-5281 | Misty A Gasa 7155 S 41st Ter Bellevue NE 68147-1056 Ph: (402) 515-5281 |
| NPI Number | 1568970259 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 01/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568970259 | NPI | - | NPPES |
| 10026648100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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