| Empowering Minds Behavioral Health | |
|
610 J St Ste 110 Lincoln NE 68508-2967 | |
| (402) 560-0971 | |
| Not Available |
| Full Name | Empowering Minds Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 610 J St Ste 110, Lincoln, Nebraska |
| Authorized Official Name and Position | Kelly Micek (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4025600971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Minds Behavioral Health 9820 Balkan Ave Lincoln NE 68516-2812 Ph: (402) 560-0971 | Empowering Minds Behavioral Health 610 J St Ste 110 Lincoln NE 68508-2967 Ph: (402) 560-0971 |
| NPI Number | 1316786858 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Medicare PECOS PAC ID | 5799268975 |
|---|---|
| Medicare Enrollment ID | O20260316003203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316786858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Kelsy Norman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386109627 PECOS PAC ID: 8729561980 Enrollment ID: I20260316002192 |
| Provider Name | Alicia Micek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467841692 PECOS PAC ID: 7911480108 Enrollment ID: I20260316003441 |
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