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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