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13520 Discovery Dr # 106 Omaha NE 68137-3002 | |
| (402) 317-2932 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 13520 Discovery Dr # 106, Omaha, Nebraska |
| Authorized Official Name and Position | Shannon R Heath (THERAPIST/OWNER) |
| Authorized Official Contact | 4023172932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
815 Fenwick St Papillion NE 68046-3133 Ph: () - | 13520 Discovery Dr # 106 Omaha NE 68137-3002 Ph: (402) 317-2932 |
| NPI Number | 1689426702 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Medicare PECOS PAC ID | 6901349562 |
|---|---|
| Medicare Enrollment ID | O20240624003607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689426702 | NPI | - | NPPES |
| Provider Name | Shannon Heath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215595053 PECOS PAC ID: 9537510300 Enrollment ID: I20240105000464 |
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