| Wragge Psychotherapy Inc | |
|
11905 Arbor St Omaha NE 68144-2970 | |
| (402) 330-8850 | |
| Not Available |
| Full Name | Wragge Psychotherapy Inc |
|---|---|
| Speciality | Counselor |
| Location | 11905 Arbor St, Omaha, Nebraska |
| Authorized Official Name and Position | Marcia Wragge (OWNER) |
| Authorized Official Contact | 4023305580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wragge Psychotherapy Inc 11905 Arbor St Omaha NE 68144-2970 Ph: (402) 330-8850 | Wragge Psychotherapy Inc 11905 Arbor St Omaha NE 68144-2970 Ph: (402) 330-8850 |
| NPI Number | 1831517713 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 12/28/2021 |
| Certification Date | 12/28/2021 |
| Medicare PECOS PAC ID | 2062644651 |
|---|---|
| Medicare Enrollment ID | O20140414001489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831517713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Marcia A Wragge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093990145 PECOS PAC ID: 5991981508 Enrollment ID: I20110517000135 |
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