| Peace And Vitality Counseling Llc | |
|
11717 Burt St Ste 101 Omaha NE 68154-1500 | |
| (402) 321-2086 | |
| Not Available |
| Full Name | Peace And Vitality Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 11717 Burt St Ste 101, Omaha, Nebraska |
| Authorized Official Name and Position | Susan Kay Finan (THERAPIST) |
| Authorized Official Contact | 4023212086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace And Vitality Counseling Llc 7909 Elm Plz Apt 204 Omaha NE 68124-3489 Ph: (402) 321-2086 | Peace And Vitality Counseling Llc 11717 Burt St Ste 101 Omaha NE 68154-1500 Ph: (402) 321-2086 |
| NPI Number | 1023895828 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Medicare PECOS PAC ID | 9739525759 |
|---|---|
| Medicare Enrollment ID | O20240313002005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023895828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan K Finan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265518831 PECOS PAC ID: 6204939127 Enrollment ID: I20070314000451 |
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