| Wellmind Llc | |
|
10820 Ramona Cir Lincoln NE 68516-9352 | |
| (402) 770-9115 | |
| Not Available |
| Full Name | Wellmind Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10820 Ramona Cir, Lincoln, Nebraska |
| Authorized Official Name and Position | Georgina Johnson (OWNER) |
| Authorized Official Contact | 4027709115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellmind Llc 10820 Ramona Cir Lincoln NE 68516-9352 Ph: (402) 770-9115 | Wellmind Llc 10820 Ramona Cir Lincoln NE 68516-9352 Ph: (402) 770-9115 |
| NPI Number | 1578214441 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 01/12/2022 |
| Certification Date | 01/12/2022 |
| Medicare PECOS PAC ID | 7911382296 |
|---|---|
| Medicare Enrollment ID | O20220922002808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578214441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Georgina L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194208900 PECOS PAC ID: 9133464118 Enrollment ID: I20181219001849 |
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