| Holistic Healing Mind Body & Soul | |
|
2569 Browne St Omaha NE 68111-2046 | |
| (402) 630-7649 | |
| Not Available |
| Full Name | Holistic Healing Mind Body & Soul |
|---|---|
| Speciality | Clinic/Center |
| Location | 2569 Browne St, Omaha, Nebraska |
| Authorized Official Name and Position | Delicia Charlisse Mcghee (COUNSLEOR/MENTAL HEALTH) |
| Authorized Official Contact | 4029152159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Healing Mind Body & Soul 2569 Browne St Omaha NE 68111-2046 Ph: (024) 630-7649 | Holistic Healing Mind Body & Soul 2569 Browne St Omaha NE 68111-2046 Ph: (402) 630-7649 |
| NPI Number | 1457947004 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Medicare PECOS PAC ID | 0840722377 |
|---|---|
| Medicare Enrollment ID | O20241022001925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457947004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Delicia Charlisse Mcghee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972137362 PECOS PAC ID: 2668904194 Enrollment ID: I20241022002281 |
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