Individual
BRIANNA COOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
Mailing address
8220 BLONDO STREET, APT. 110, OMAHA, NE 68134
(785) 318-0365
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
13217
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13217
I DO NOT HAVE MEDICARE, BUT WILL BE PUT ONTO MY ORGANIZATIONS INSURANCE
NE
Enumeration date
02/03/2023
Last updated
02/03/2023
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