Organization
BENEFICENT4U LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISHA KIM ELLIS APRN NP (PMHNP-BC)
(402) 541-2230
Entity
Organization
Contact information
Practice address
1120 6TH CORSO, NEBRASKA CITY, NE 68410-2747
(402) 713-0110
(402) 713-0285
Mailing address
320 N 68TH ST, OMAHA, NE 68132-2648
(402) 541-2230
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
04/29/2020
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