| Truth In Bloom | |
|
6911 Van Dorn St Ste 2 Lincoln NE 68506-6801 | |
| (402) 403-9430 | |
| Not Available |
| Full Name | Truth In Bloom |
|---|---|
| Speciality | Social Worker |
| Location | 6911 Van Dorn St Ste 2, Lincoln, Nebraska |
| Authorized Official Name and Position | Melissa Mathis (OWNER) |
| Authorized Official Contact | 4024039430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Truth In Bloom 6911 Van Dorn St Ste 2 Lincoln NE 68506-6801 Ph: (402) 403-9430 | Truth In Bloom 6911 Van Dorn St Ste 2 Lincoln NE 68506-6801 Ph: (402) 403-9430 |
| NPI Number | 1841097383 |
|---|---|
| Provider Enumeration Date | 03/03/2025 |
| Last Update Date | 03/03/2025 |
| Certification Date | 02/26/2025 |
| Medicare PECOS PAC ID | 6103340070 |
|---|---|
| Medicare Enrollment ID | O20250412000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841097383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa A Mathis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063127389 PECOS PAC ID: 6204350176 Enrollment ID: I20250412000013 |
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