| Rayebrook Behavioral Health And Wellness Llc | |
|
4344 N 62nd St Ste 1 Lincoln NE 68507-1215 | |
| (402) 730-2021 | |
| Not Available |
| Full Name | Rayebrook Behavioral Health And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4344 N 62nd St Ste 1, Lincoln, Nebraska |
| Authorized Official Name and Position | Richelle Dowding (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4027302021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rayebrook Behavioral Health And Wellness Llc 4344 N 62nd St Ste 1 Lincoln NE 68507-1215 Ph: (402) 730-2021 | Rayebrook Behavioral Health And Wellness Llc 4344 N 62nd St Ste 1 Lincoln NE 68507-1215 Ph: (402) 730-2021 |
| NPI Number | 1164098513 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 11/10/2023 |
| Certification Date | 11/10/2023 |
| Medicare PECOS PAC ID | 1153779459 |
|---|---|
| Medicare Enrollment ID | O20231128000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164098513 | NPI | - | NPPES |
| 1649864091 | Other | SELF-PAY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Richelle Raye Dowding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649864091 PECOS PAC ID: 2062860364 Enrollment ID: I20231128000406 |
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