| Magnolia Therapy & Consultation Services, Llc | |
|
4611 S 96th St Ste 237 Omaha NE 68127-1243 | |
| (402) 496-9966 | |
| (402) 496-9499 |
| Full Name | Magnolia Therapy & Consultation Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4611 S 96th St Ste 237, Omaha, Nebraska |
| Authorized Official Name and Position | Susie Romanik (OFFICE MANAGER) |
| Authorized Official Contact | 4024969966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Therapy & Consultation Services, Llc 4611 S 96th St Ste 237 Omaha NE 68127-1243 Ph: (402) 496-9966 | Magnolia Therapy & Consultation Services, Llc 4611 S 96th St Ste 237 Omaha NE 68127-1243 Ph: (402) 496-9966 |
| NPI Number | 1346905148 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 08/05/2023 |
| Certification Date | 08/05/2023 |
| Medicare PECOS PAC ID | 1759822323 |
|---|---|
| Medicare Enrollment ID | O20240923002544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346905148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica L Winternheimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295108082 PECOS PAC ID: 3476084856 Enrollment ID: I20241009003425 |
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