Organization
SERVANTS OF MARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M SHERIDAN (THEARPIST)
(402) 951-3066
Entity
Organization
Contact information
Practice address
7400 MILITARY AVE, OMAHA, NE 68134-3351
(402) 951-3066
Mailing address
7400 MILITARY AVE, OMAHA, NE 68134-3351
(402) 206-4120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
734
NE
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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