| Victoria Vantol Counseling Services, Inc. | |
|
6818 Grover St Ste 102 Omaha NE 68106-3632 | |
| (402) 832-7961 | |
| Not Available |
| Full Name | Victoria Vantol Counseling Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6818 Grover St Ste 102, Omaha, Nebraska |
| Authorized Official Name and Position | Victoria Vantol (PROVIDER) |
| Authorized Official Contact | 4028327961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Vantol Counseling Services, Inc. 6818 Grover St Ste 102 Omaha NE 68106-3632 Ph: (402) 832-7961 | Victoria Vantol Counseling Services, Inc. 6818 Grover St Ste 102 Omaha NE 68106-3632 Ph: (402) 832-7961 |
| NPI Number | 1568195469 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/07/2022 |
| Medicare PECOS PAC ID | 1850775883 |
|---|---|
| Medicare Enrollment ID | O20220825000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568195469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Victoria L Vantol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326552050 PECOS PAC ID: 5193159598 Enrollment ID: I20191217002870 |
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