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Organization

EPIPHANAL MOMENTS COUNSELING AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STEPHANIE RUTH ATKINS LIMHP (EXECUTIVE DIRECTOR)
(402) 709-5928
Entity
Organization

Contact information

Practice address
11414 W CENTER RD, STE 325, OMAHA, NE 68144-4486
(402) 709-5928
(402) 763-4818
Mailing address
11414 W CENTER RD, STE 325, OMAHA, NE 68144-4486
(402) 709-5928
(402) 763-4818

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100025361800
NE
Enumeration date
01/18/2013
Last updated
01/18/2013
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