Individual
TERESA N. TROVATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
4565 S 133RD ST, OMAHA, NE 68137-1142
(025) 902-9474
Mailing address
14505 KNUDSEN ST, BENNINGTON, NE 68007-1637
(402) 594-6561
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
105998
IA
101YM0800X
Mental Health Counselor
Primary
12923
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105998
TLMCH
IA
01
—
12923
PLMHP
NE
Enumeration date
01/12/2021
Last updated
07/21/2023
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