| Sirena Psychotherapy And Wellness Llc | |
|
7028 North 102nd Circle Omaha NE 68122-3059 | |
| (402) 780-1661 | |
| Not Available |
| Full Name | Sirena Psychotherapy And Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 7028 North 102nd Circle, Omaha, Nebraska |
| Authorized Official Name and Position | Coram Dm Nieves (DIRECT OWNER) |
| Authorized Official Contact | 4027801661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sirena Psychotherapy And Wellness Llc 7028 North 102nd Circle Omaha NE 68122-3059 Ph: (402) 780-1661 | Sirena Psychotherapy And Wellness Llc 7028 North 102nd Circle Omaha NE 68122-3059 Ph: (402) 780-1661 |
| NPI Number | 1144086372 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 2365882693 |
|---|---|
| Medicare Enrollment ID | O20240502002991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144086372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Coral Del Mar Nieves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134870454 PECOS PAC ID: 3274973508 Enrollment ID: I20240603002873 |
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