| Southern Sudan Comm Ass | |
|
3610 Dodge Street Suite 100 Omaha NE 68131 | |
| (402) 554-0759 | |
| (402) 561-9724 |
| Full Name | Southern Sudan Comm Ass |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3610 Dodge Street, Omaha, Nebraska |
| Authorized Official Name and Position | Julia H Allen (SUPERVISING LMHP) |
| Authorized Official Contact | 4025540759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Sudan Comm Ass 3610 Dodge Street Suite 100 Omaha NE 68131 Ph: (402) 554-0759 | Southern Sudan Comm Ass 3610 Dodge Street Suite 100 Omaha NE 68131 Ph: (402) 554-0759 |
| NPI Number | 1861518763 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861518763 | NPI | - | NPPES |
| 10025485800 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Santa Monica Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 N 39th St, Omaha, NE 68131 Phone: 402-558-7088 Fax: 402-558-7133 | |
Alphaomega Counseling&consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1941 S 42nd St Ste 538, Omaha, NE 68105 Phone: 402-515-4874 | |
Charles Drew Health Center, Inc At Siena Francis House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 North 17th Street, Omaha, NE 68102 Phone: 402-346-8401 Fax: 402-453-2061 | |
Hill Counseling And Consulting, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1941 S 42nd St, Suite 129, Omaha, NE 68105 Phone: 402-871-9979 Fax: 402-614-9947 | |
Deborah L. Winckler Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11330 Q St, Ste # 219, Omaha, NE 68137 Phone: 402-490-3672 Fax: 402-597-2349 | |
Serenity Psychodynamics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11605 Arbor St, Suite 102, Omaha, NE 68144 Phone: 402-330-4700 Fax: 402-330-8815 | |
Completely Kids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Saint Marys Ave, Omaha, NE 68105 Phone: 402-397-5809 |