| Soulutions Therapy, Llc | |
|
2819 Josephine St Bellevue NE 68147-1433 | |
| (402) 940-7387 | |
| Not Available |
| Full Name | Soulutions Therapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2819 Josephine St, Bellevue, Nebraska |
| Authorized Official Name and Position | Jane Potter (OWNER) |
| Authorized Official Contact | 4029407387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulutions Therapy, Llc 2819 Josephine St Bellevue NE 68147-1433 Ph: () - | Soulutions Therapy, Llc 2819 Josephine St Bellevue NE 68147-1433 Ph: (402) 940-7387 |
| NPI Number | 1538849393 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Medicare PECOS PAC ID | 0244684140 |
|---|---|
| Medicare Enrollment ID | O20230926004038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538849393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jane Polinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376131706 PECOS PAC ID: 6406213438 Enrollment ID: I20230607001702 |
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