Organization
RED COUCH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KADRA OMEROVIC (CREDENTIALING AND BILLING)
(402) 421-1182
Entity
Organization
Contact information
Practice address
914 P STREET, GENEVA, NE 68361-9999
(402) 710-0564
Mailing address
914 P STREET, GENEVA, NE 68361-9999
(402) 710-0564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1277
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54985944801
—
NE
Enumeration date
09/26/2017
Last updated
07/21/2022
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