# OMAHA MENTAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164023321
- **Authorized official:** SERGIO MATT PALOMO (OWNER)
- **Authorized official phone:** (402) 709-1496

## Contact information

- **Practice address:** 12305 GOLD ST STE 13, OMAHA, NE 68144-2760
- **Practice address phone:** (402) 709-1496
- **Mailing address:** 12305 GOLD ST STE 13, OMAHA, NE 68144-2760
- **Mailing address phone:** (402) 709-1496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2020
- **Last updated:** 11/04/2020