| Optum Behavioral Care Of Ohio, Inc | |
|
11204 Davenport St Ste 200 Omaha NE 68154-2658 | |
| (402) 301-3966 | |
| (402) 502-1282 |
| Full Name | Optum Behavioral Care Of Ohio, Inc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 11204 Davenport St Ste 200, Omaha, Nebraska |
| Authorized Official Name and Position | Kerry Biscornet (SECRETARY) |
| Authorized Official Contact | 6088542929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of Ohio, Inc 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (704) 506-6267 | Optum Behavioral Care Of Ohio, Inc 11204 Davenport St Ste 200 Omaha NE 68154-2658 Ph: (402) 301-3966 |
| NPI Number | 1134995822 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134995822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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