| Peggy Bonacci Counseling Llc | |
|
8031 W Center Rd Ste 324 Omaha NE 68124-3149 | |
| (531) 800-7117 | |
| Not Available |
| Full Name | Peggy Bonacci Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8031 W Center Rd Ste 324, Omaha, Nebraska |
| Authorized Official Name and Position | Peggy Bonacci (LCSW, OWNER) |
| Authorized Official Contact | 5318007117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peggy Bonacci Counseling Llc 8031 W Center Rd Ste 324 Omaha NE 68124-3149 Ph: (531) 800-7117 | Peggy Bonacci Counseling Llc 8031 W Center Rd Ste 324 Omaha NE 68124-3149 Ph: (531) 800-7117 |
| NPI Number | 1588261507 |
|---|---|
| Provider Enumeration Date | 10/02/2020 |
| Last Update Date | 10/02/2020 |
| Certification Date | 10/02/2020 |
| Medicare PECOS PAC ID | 5799105268 |
|---|---|
| Medicare Enrollment ID | O20201022000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588261507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Peggy A Bonacci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922645027 PECOS PAC ID: 5698195162 Enrollment ID: I20201022000575 |
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