Rose Mental Wellness Llc | |
610 J St Ste 210 Lincoln NE 68508-2967 | |
(402) 413-1411 | |
Not Available |
Full Name | Rose Mental Wellness Llc |
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Speciality | Clinic/Center |
Location | 610 J St Ste 210, Lincoln, Nebraska |
Authorized Official Name and Position | Jamie Rose Liebentritt (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 4024131411 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rose Mental Wellness Llc 610 J St Ste 210 Lincoln NE 68508-2967 Ph: (402) 413-1411 | Rose Mental Wellness Llc 610 J St Ste 210 Lincoln NE 68508-2967 Ph: (402) 413-1411 |
NPI Number | 1518637743 |
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Provider Enumeration Date | 09/18/2021 |
Last Update Date | 09/18/2021 |
Certification Date | 09/18/2021 |
Medicare PECOS PAC ID | 6305243791 |
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Medicare Enrollment ID | O20210928001898 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518637743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Jamie R Liebentritt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093316556 PECOS PAC ID: 7416350327 Enrollment ID: I20210729000069 |
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