Alternative Avenues & Associates | |
4740 A St Ste 200 Lincoln NE 68510-4824 | |
(402) 440-5094 | |
(402) 615-6750 |
Full Name | Alternative Avenues & Associates |
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Speciality | Counselor |
Location | 4740 A St Ste 200, Lincoln, Nebraska |
Authorized Official Name and Position | Jeremy Eberle (OWNER) |
Authorized Official Contact | 4024405094 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Alternative Avenues & Associates 4740 A St Ste 200 Lincoln NE 68510-4824 Ph: (402) 440-5094 | Alternative Avenues & Associates 4740 A St Ste 200 Lincoln NE 68510-4824 Ph: (402) 440-5094 |
NPI Number | 1366067068 |
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Provider Enumeration Date | 06/09/2020 |
Last Update Date | 06/09/2020 |
Certification Date | 06/09/2020 |
Medicare PECOS PAC ID | 3870023773 |
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Medicare Enrollment ID | O20250207000278 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366067068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Jeremy Ray Eberle |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1952619124 PECOS PAC ID: 9032649934 Enrollment ID: I20250207001353 |
Provider Name | Janet Lynn Johnson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1043491806 PECOS PAC ID: 2769912666 Enrollment ID: I20250228002846 |
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