# TRACEY L HAMOR LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Green Ribbon Mental Wellness and Family Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245841048
- **Authorized official:** MRS. TRACEY LYNN HAMOR NP (OWNER/CEO)
- **Authorized official phone:** (402) 840-9896

## Contact information

- **Practice address:** 221 S 4TH ST, ELMWOOD, NE 68349-6027
- **Practice address phone:** (402) 840-9896
- **Practice address fax:** (470) 275-0883
- **Mailing address:** 140 N. 4TH STREET, PO BOX 208, ELMWOOD, NE 68349-6027
- **Mailing address phone:** (402) 840-9896
- **Mailing address fax:** (470) 275-0883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2020
- **Last updated:** 11/07/2022