| Thinking River LLC | |
|
11717 Burt St Ste 101 Omaha NE 68154-1500 | |
| (402) 953-6771 | |
| Not Available |
| Full Name | Thinking River LLC |
|---|---|
| Speciality | Counselor |
| Location | 11717 Burt St Ste 101, Omaha, Nebraska |
| Authorized Official Name and Position | Britni Shrader (OWNER) |
| Authorized Official Contact | 4029536771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thinking River LLC 11717 Burt St Ste 101 Omaha NE 68154-1500 Ph: (402) 953-6771 | Thinking River LLC 11717 Burt St Ste 101 Omaha NE 68154-1500 Ph: (402) 953-6771 |
| NPI Number | 1154195394 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 1153898390 |
|---|---|
| Medicare Enrollment ID | O20260424003263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154195394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Britni Shrader |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861859852 PECOS PAC ID: 2062989205 Enrollment ID: I20260424003306 |
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