| Eclipse Quantum Wellness Llc | |
|
11404 W Dodge Rd Ste 300 Omaha NE 68154-9603 | |
| (531) 222-4779 | |
| Not Available |
| Full Name | Eclipse Quantum Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11404 W Dodge Rd Ste 300, Omaha, Nebraska |
| Authorized Official Name and Position | Natalie Renee Bussing (OWNER) |
| Authorized Official Contact | 5312224779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eclipse Quantum Wellness Llc 11404 W Dodge Rd Ste 300 Omaha NE 68154-9603 Ph: (531) 222-4779 | Eclipse Quantum Wellness Llc 11404 W Dodge Rd Ste 300 Omaha NE 68154-9603 Ph: (531) 222-4779 |
| NPI Number | 1023897634 |
|---|---|
| Provider Enumeration Date | 09/22/2023 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023897634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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