| Shared Solutions Counseling | |
|
10206 Caspian Dr Papillion NE 68046-3234 | |
| (402) 250-7810 | |
| Not Available |
| Full Name | Shared Solutions Counseling |
|---|---|
| Speciality | Counselor |
| Location | 10206 Caspian Dr, Papillion, Nebraska |
| Authorized Official Name and Position | Longfellow Marquez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4022507810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shared Solutions Counseling 10206 Caspian Dr Papillion NE 68046-3234 Ph: (402) 250-7810 | Shared Solutions Counseling 10206 Caspian Dr Papillion NE 68046-3234 Ph: (402) 250-7810 |
| NPI Number | 1700635497 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 1052855145 |
|---|---|
| Medicare Enrollment ID | O20240701000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700635497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| Provider Name | Longfellow Marquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265591796 PECOS PAC ID: 9739526179 Enrollment ID: I20240321001736 |
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