| Sozo Family Services | |
|
616 13th St Ste 110 Aurora NE 68818-2426 | |
| (402) 631-7267 | |
| (402) 694-4199 |
| Full Name | Sozo Family Services |
|---|---|
| Speciality | Counselor |
| Location | 616 13th St Ste 110, Aurora, Nebraska |
| Authorized Official Name and Position | Theresa Arnett Nickolaus (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4026317267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sozo Family Services 616 13th St Ste 110 Aurora NE 68818-2426 Ph: (402) 631-7267 | Sozo Family Services 616 13th St Ste 110 Aurora NE 68818-2426 Ph: (402) 631-7267 |
| NPI Number | 1811362726 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 12/02/2015 |
| Medicare PECOS PAC ID | 7315393253 |
|---|---|
| Medicare Enrollment ID | O20231027002810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811362726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Nebraska) | Primary |
| Provider Name | Thomas Milton Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164755443 PECOS PAC ID: 8224485412 Enrollment ID: I20231109001489 |
| Provider Name | Theresa Arnett Nickolaus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447540786 PECOS PAC ID: 2860848702 Enrollment ID: I20240125004371 |
Aurora Public School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 L St, Aurora, NE 68818 Phone: 402-694-6966 |