Laura Acosta, PLMHP

Individual provider Active NPI Mental Health Counselor · Omaha, NE

NPI 1992365134 · NPPES record last updated Jun 19, 2019

Key facts

NPI
1992365134
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
11871 (NE)
Practice address
4920 S 30TH St Ste 103
Omaha, NE 68107-1656
Phone
(402) 734-4110
Fax
(402) 734-3990
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11871NEMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11871 NE Yes

Addresses

Primary practice location

4920 S 30TH St Ste 103
Omaha, NE 68107-1656

Mailing address

4920 S 30TH St Ste 103
Omaha, NE 68107-1656
Phone (402) 734-4110

Other providers in Omaha, NE

All providers in Omaha, NE · Mental Health Counselor in Nebraska

Sources for this page

Verify at the official NPI Registry.