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Organization

HAROLD P MOSELEY DBA LIFE ENRICHMENT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAROLD MOSELEY LCSW (CO-DIRECTOR)
(402) 740-6576
Entity
Organization

Contact information

Practice address
4780 S 131ST ST, SUITE 7A, OMAHA, NE 68137-1865
(402) 740-6576
(402) 504-3111
Mailing address
4780 S 131ST ST, SUITE 7A, OMAHA, NE 68137-1865
(402) 740-6576
(402) 504-3111

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHP #914
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025477100
NE
01
82425
BLUE CROSS/BLUE SHIELD FOR HAROLD MOSELEY, LCSW
NE
01
85529
BLUECROSS/BLUE SHIELD FOR SHARON G. MOSELEY, LCSW
NE
Enumeration date
06/15/2007
Last updated
06/20/2008
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