Spence Counseling Center Pc | |
12035 Q St Omaha NE 68137-3542 | |
(402) 991-0611 | |
(402) 991-6228 |
Full Name | Spence Counseling Center Pc |
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Speciality | Counselor |
Location | 12035 Q St, Omaha, Nebraska |
Authorized Official Name and Position | Rhonda Spence (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 4027047814 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Spence Counseling Center Pc 12035 Q St Omaha NE 68137-3542 Ph: (402) 991-0611 | Spence Counseling Center Pc 12035 Q St Omaha NE 68137-3542 Ph: (402) 991-0611 |
NPI Number | 1073559175 |
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Provider Enumeration Date | 06/20/2006 |
Last Update Date | 12/22/2023 |
Certification Date | 12/18/2023 |
Medicare PECOS PAC ID | 6204976525 |
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Medicare Enrollment ID | O20091217000537 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073559175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Mark E Miller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912013392 PECOS PAC ID: 6901946227 Enrollment ID: I20091217000564 |
Provider Name | Danielle Maly |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750846457 PECOS PAC ID: 1850717497 Enrollment ID: I20230808001455 |
Provider Name | Megan Marie Dreyer |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649440371 PECOS PAC ID: 6709238207 Enrollment ID: I20240202003195 |
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