| Fremont Family Counseling, Llc | |
|
511 N D St Fremont NE 68025-5051 | |
| (402) 720-6853 | |
| (402) 727-0779 |
| Full Name | Fremont Family Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 511 N D St, Fremont, Nebraska |
| Authorized Official Name and Position | Sheena Marie Mikoloyck (OWNER) |
| Authorized Official Contact | 4027206853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont Family Counseling, Llc 511 N D St Fremont NE 68025-5051 Ph: (402) 720-6853 | Fremont Family Counseling, Llc 511 N D St Fremont NE 68025-5051 Ph: (402) 720-6853 |
| NPI Number | 1093162927 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 05/20/2016 |
| Medicare PECOS PAC ID | 1557712395 |
|---|---|
| Medicare Enrollment ID | O20240105003143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093162927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4745 (Nebraska) | Primary |
| Provider Name | Sheena Marie Mikoloyck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528278157 PECOS PAC ID: 2466803200 Enrollment ID: I20240105003217 |
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