| Harmony Health Centers LLC | |
|
4719 Prescott Ave Lincoln NE 68506-5456 | |
| (402) 413-9147 | |
| (402) 261-7149 |
| Full Name | Harmony Health Centers LLC |
|---|---|
| Speciality | Counselor |
| Location | 4719 Prescott Ave, Lincoln, Nebraska |
| Authorized Official Name and Position | Crystal Holloway (CREDENTIALLING AGENT) |
| Authorized Official Contact | 4026946445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmony Health Centers LLC 4719 Prescott Ave Lincoln NE 68506-5456 Ph: (402) 413-9147 | Harmony Health Centers LLC 4719 Prescott Ave Lincoln NE 68506-5456 Ph: (402) 413-9147 |
| NPI Number | 1255893186 |
|---|---|
| Provider Enumeration Date | 04/01/2019 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Medicare PECOS PAC ID | 9931511615 |
|---|---|
| Medicare Enrollment ID | O20201222002185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255893186 | NPI | - | NPPES |
| 10026774000 | Medicaid | NE | |
| 10026774001 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Secondary |
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Hope E Estrada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861038796 PECOS PAC ID: 1850764580 Enrollment ID: I20230228002632 |
| Provider Name | Kathleen Marcey-fleming |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942341797 PECOS PAC ID: 6709227069 Enrollment ID: I20240517000345 |
| Provider Name | Robert D Kohles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063584159 PECOS PAC ID: 9739621061 Enrollment ID: I20240603000548 |
| Provider Name | Vanessa a Suarez |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1780006296 PECOS PAC ID: 2668918996 Enrollment ID: I20240723003763 |
| Provider Name | Bradly M. Shay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922172105 PECOS PAC ID: 5092128520 Enrollment ID: I20240905000838 |
| Provider Name | Timothy Scott Schultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144451436 PECOS PAC ID: 1557837333 Enrollment ID: I20260420000495 |
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