Organization
IM HEBRANK PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDA MARIE HEBRANK LIMHP, CMSW, LADC (OWNER)
(402) 541-9698
Entity
Organization
Contact information
Practice address
1406 FORT CROOK RD S STE 401, BELLEVUE, NE 68005-2980
(402) 541-9698
Mailing address
1406 FORT CROOK RD S STE 401, BELLEVUE, NE 68005-2980
(402) 541-9698
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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