| Sacred Ground Psychotherapy Llc | |
|
4535 Normal Blvd Ste 201 Lincoln NE 68506-2891 | |
| (402) 421-1182 | |
| Not Available |
| Full Name | Sacred Ground Psychotherapy Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4535 Normal Blvd Ste 201, Lincoln, Nebraska |
| Authorized Official Name and Position | Jonathan Marcotte (SELF PHD) |
| Authorized Official Contact | 4027831555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Ground Psychotherapy Llc 4535 Normal Blvd Ste 201 Lincoln NE 68506-2891 Ph: () - | Sacred Ground Psychotherapy Llc 4535 Normal Blvd Ste 201 Lincoln NE 68506-2891 Ph: (402) 421-1182 |
| NPI Number | 1205493202 |
|---|---|
| Provider Enumeration Date | 05/24/2019 |
| Last Update Date | 05/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205493202 | NPI | - | NPPES |
| 5348694785 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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