| Smooth Sailing Llc | |
|
2900 S 70th St Ste 160 Lincoln NE 68506-3733 | |
| (402) 304-0403 | |
| (402) 477-8278 |
| Full Name | Smooth Sailing Llc |
|---|---|
| Speciality | Counselor |
| Location | 2900 S 70th St Ste 160, Lincoln, Nebraska |
| Authorized Official Name and Position | John Goldrich (OWNER) |
| Authorized Official Contact | 4024213814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smooth Sailing Llc 2900 S 70th St Ste 160 Lincoln NE 68506-3733 Ph: (402) 304-0403 | Smooth Sailing Llc 2900 S 70th St Ste 160 Lincoln NE 68506-3733 Ph: (402) 304-0403 |
| NPI Number | 1114549094 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Medicare PECOS PAC ID | 6305267097 |
|---|---|
| Medicare Enrollment ID | O20200604002463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114549094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | John V Goldrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104991199 PECOS PAC ID: 8325224850 Enrollment ID: I20110518000619 |
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