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Organization
TRACEY L HAMOR LLC
Active
Organization
TRACEY L HAMOR LLC
Active
Other names
Green Ribbon Mental Wellness and Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY LYNN HAMOR NP (OWNER/CEO)
(402) 840-9896
Entity
Organization
Contact information
Practice address
221 S 4TH ST, ELMWOOD, NE 68349-6027
(402) 840-9896
(470) 275-0883
Mailing address
140 N. 4TH STREET, PO BOX 208, ELMWOOD, NE 68349-6027
(402) 840-9896
(470) 275-0883
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
11/07/2022
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