Moreno Therapy | |
256 N 115th St Ste 3 Omaha NE 68154-2558 | |
(402) 660-9555 | |
Not Available |
Full Name | Moreno Therapy |
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Speciality | Counselor |
Location | 256 N 115th St Ste 3, Omaha, Nebraska |
Authorized Official Name and Position | Dominique Ray Moreno (THERAPIST) |
Authorized Official Contact | 4026609555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Moreno Therapy 256 N 115th St Ste 3 Omaha NE 68154-2558 Ph: (402) 660-9555 | Moreno Therapy 256 N 115th St Ste 3 Omaha NE 68154-2558 Ph: (402) 660-9555 |
NPI Number | 1851916373 |
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Provider Enumeration Date | 06/10/2020 |
Last Update Date | 11/14/2024 |
Certification Date | 11/14/2024 |
Medicare PECOS PAC ID | 7012442890 |
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Medicare Enrollment ID | O20241203002702 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851916373 | NPI | - | NPPES |
1790238665 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Dominique Ray Moreno |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1790238665 PECOS PAC ID: 8921533704 Enrollment ID: I20241203002763 |
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