| Renewal Mental Health Services | |
|
2405 S 130th Cir Omaha NE 68144-2528 | |
| (402) 891-8882 | |
| (402) 891-8883 |
| Full Name | Renewal Mental Health Services |
|---|---|
| Speciality | Counselor |
| Location | 2405 S 130th Cir, Omaha, Nebraska |
| Authorized Official Name and Position | Judy Devries (PARTNER) |
| Authorized Official Contact | 4028918882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal Mental Health Services 2405 S 130th Cir Omaha NE 68144-2528 Ph: (402) 891-8882 | Renewal Mental Health Services 2405 S 130th Cir Omaha NE 68144-2528 Ph: (402) 891-8882 |
| NPI Number | 1881851707 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881851707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 52 (Nebraska) | Primary |
| 101YP2500X | Counselor - Professional | 1452 (Nebraska) | Secondary |
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