OMAHA MENTAL HEALTH LLC NPI 1164023321

NPI Information

NPI: 1164023321
Provider Name: OMAHA MENTAL HEALTH LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
12305 GOLD ST STE 13
OMAHA, NE
ZIP 68144
Phone: (402) 709-1496
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OMAHA MENTAL HEALTH LLC is a mental health counselor in Omaha, NE. OMAHA MENTAL HEALTH LLC NPI is 1164023321. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12305 GOLD ST STE 13
OMAHA, NE
ZIP 68144-760
Phone: (402) 709-1496

The provider's authorized official is Sergio Matt Palomo .
The authorized official title is Owner and has the following contact phone number (402) 709-1496.

The enumeration date for this NPI number is 11/4/2020 and was last updated on 11/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10026800600	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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