| Stephanie Huckins Llc | |
|
11605 Arbor St Suite 106 Omaha NE 68144-2982 | |
| (402) 330-4700 | |
| (402) 330-8815 |
| Full Name | Stephanie Huckins Llc |
|---|---|
| Speciality | Counselor |
| Location | 11605 Arbor St, Omaha, Nebraska |
| Authorized Official Name and Position | Stephanie A Huckins (OWNER) |
| Authorized Official Contact | 4023304700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Huckins Llc 5022 Trail Creek Ave Bellevue NE 68157-2255 Ph: (402) 330-4700 | Stephanie Huckins Llc 11605 Arbor St Suite 106 Omaha NE 68144-2982 Ph: (402) 330-4700 |
| NPI Number | 1598160426 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Medicare PECOS PAC ID | 7618246349 |
|---|---|
| Medicare Enrollment ID | O20170711003447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598160426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1228 (Nebraska) | Primary |
| 104100000X | Social Worker | 1398 (Nebraska) | Secondary |
| Provider Name | Stephanie A Huckins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952548679 PECOS PAC ID: 0446494470 Enrollment ID: I20130913000119 |
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