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Contact Information

OMAHA INTEGRATIVE CARE, LLC
2126 N 117TH AVE
OMAHA, NE68164-3670
 Phone: 402-934-1617
 Fax: 402-934-5228
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for OMAHA INTEGRATIVE CARE LLC · (Female)

NPI Number 1023302247
Status Active
Credentials
Entity Individual
Enumeration date 06/06/2011
Last updated 12/06/2023 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • NE License # 273
  • NE Medicaid 100262127-00
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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