Organization
OPTUM BEHAVIORAL CARE OF OHIO, INC
Active
Organization
OPTUM BEHAVIORAL CARE OF OHIO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY BISCORNET (SECRETARY)
(608) 854-2929
Entity
Organization
Contact information
Practice address
11204 DAVENPORT ST STE 200, OMAHA, NE 68154-2658
(402) 301-3966
(402) 502-1282
Mailing address
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(704) 506-6267
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/05/2023
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