Organization
FOUNTAINHEAD COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER P SHERIDAN (OWNER)
(402) 253-7901
Entity
Organization
Contact information
Practice address
11605 ARBOR ST STE 106, OMAHA, NE 68144-2982
(402) 330-0960
Mailing address
10211 WASHINGTON DR, OMAHA, NE 68127-4523
(402) 253-7901
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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