Organization
OMAHA INTEGRATIVE CARE, LLC
Active
Other names
Omaha Integrative Care for Fertility, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ANN LUZARRAGA LICSW (EXECUTIVE DIRECTOR)
(402) 934-1617
Entity
Organization
Contact information
Practice address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
(402) 934-5228
Mailing address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
(402) 934-5228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
273
NE
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262127-00
—
NE
Enumeration date
06/06/2011
Last updated
12/06/2023
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