Individual
MAUREEN SUSMITA SAMUEL RAVURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LPC, NCC
Contact information
Practice address
4383 NICHOLAS ST, OMAHA, NE 68131-1008
(402) 819-7868
Mailing address
10845 HARNEY ST, OMAHA, NE 68154-2637
(402) 819-7868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3908
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042622756
CCA
MA
01
—
1134107113
BEACON
MA
05
—
1134107113
—
MA
01
—
12529
HNE
MA
01
—
71756
TUFTS
MA
01
—
997303
NETWORK HEALTH
MA
01
—
Y10086
MEDICARE
MA
Enumeration date
02/06/2019
Last updated
06/10/2025
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