| Calm Waters Counseling, LLC | |
|
11605 Arbor St Ste 106 Omaha NE 68144-2982 | |
| (402) 330-4700 | |
| (402) 330-8815 |
| Full Name | Calm Waters Counseling, LLC |
|---|---|
| Speciality | Counselor |
| Location | 11605 Arbor St Ste 106, Omaha, Nebraska |
| Authorized Official Name and Position | Tomeka Johnson (CREDENTIALING SPEC.) |
| Authorized Official Contact | 4028857672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calm Waters Counseling, LLC 11605 Arbor St Ste 106 Omaha NE 68144-2982 Ph: (402) 330-4700 | Calm Waters Counseling, LLC 11605 Arbor St Ste 106 Omaha NE 68144-2982 Ph: (402) 330-4700 |
| NPI Number | 1255852315 |
|---|---|
| Provider Enumeration Date | 06/29/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9133698087 |
|---|---|
| Medicare Enrollment ID | O20260520001502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255852315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4967 (Nebraska) | Primary |
| Provider Name | Wendy Everson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982087029 PECOS PAC ID: 0042789992 Enrollment ID: I20260520001570 |
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