| Full Name | Theracare Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1616 West Ave, Holdrege, Nebraska |
| Authorized Official Name and Position | Kadra Omerovic (CREDENTIALING) |
| Authorized Official Contact | 4024211182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theracare Llc 1616 West Ave Holdrege NE 68949-1334 Ph: (308) 999-9187 | Theracare Llc 1616 West Ave Holdrege NE 68949-1334 Ph: (308) 999-9187 |
| NPI Number | 1770266264 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770266264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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