| 360 Community Services | |
|
9744 Mockingbird Dr Omaha NE 68127-2013 | |
| (402) 800-3787 | |
| (531) 375-5717 |
| Full Name | 360 Community Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9744 Mockingbird Dr, Omaha, Nebraska |
| Authorized Official Name and Position | Robyn Lee Hansen (CFO) |
| Authorized Official Contact | 4026419125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Community Services 14120 Frederick Cir Omaha NE 68138-6223 Ph: (402) 641-9125 | 360 Community Services 9744 Mockingbird Dr Omaha NE 68127-2013 Ph: (402) 800-3787 |
| NPI Number | 1346856747 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 07/11/2022 |
| Certification Date | 07/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346856747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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