Julie Ross, Lcsw, Lmhp, Llc | |
1627 E Military Ave Ste 200 Fremont NE 68025-5490 | |
(402) 727-4886 | |
(402) 727-4146 |
Full Name | Julie Ross, Lcsw, Lmhp, Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1627 E Military Ave Ste 200, Fremont, Nebraska |
Authorized Official Name and Position | Julie Diane Ross (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 4027271681 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Julie Ross, Lcsw, Lmhp, Llc 1738 Parkview Dr Fremont NE 68025-4484 Ph: (402) 727-1681 | Julie Ross, Lcsw, Lmhp, Llc 1627 E Military Ave Ste 200 Fremont NE 68025-5490 Ph: (402) 727-4886 |
NPI Number | 1235648668 |
---|---|
Provider Enumeration Date | 09/28/2017 |
Last Update Date | 11/07/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235648668 | NPI | - | NPPES |
50778753927 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 918 (Nebraska) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | 918 (Nebraska) | Secondary |
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