Organization
OMAHA MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO MATT PALOMO (OWNER)
(402) 709-1496
Entity
Organization
Contact information
Practice address
12305 GOLD ST STE 13, OMAHA, NE 68144-2760
(402) 709-1496
Mailing address
12305 GOLD ST STE 13, OMAHA, NE 68144-2760
(402) 709-1496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026800600
—
NE
Enumeration date
11/04/2020
Last updated
11/04/2020
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