| Intentions Psychotherapy Pc | |
|
1820 Fletcher Ave Apt 116 Lincoln NE 68521-1056 | |
| (402) 730-6802 | |
| Not Available |
| Full Name | Intentions Psychotherapy Pc |
|---|---|
| Speciality | Counselor |
| Location | 1820 Fletcher Ave Apt 116, Lincoln, Nebraska |
| Authorized Official Name and Position | Rachel Denney (MENTAL HEALTH PROFESSIONAL) |
| Authorized Official Contact | 4027306802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentions Psychotherapy Pc 1820 Fletcher Ave Apt 116 Lincoln NE 68521-1056 Ph: (402) 730-6802 | Intentions Psychotherapy Pc 1820 Fletcher Ave Apt 116 Lincoln NE 68521-1056 Ph: (402) 730-6802 |
| NPI Number | 1669051629 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Medicare PECOS PAC ID | 9537532221 |
|---|---|
| Medicare Enrollment ID | O20230228000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669051629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Madison Yohe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407341738 PECOS PAC ID: 6608249396 Enrollment ID: I20230228001016 |
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