Agnes Melissa Ibanez in Omaha - Mental Health
Agnes Melissa Ibanez - NPI 1457493439
Agnes Melissa Ibanez is a Mental Health in Omaha, Nebraska. Agnes Melissa Ibanez practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Agnes Melissa Ibanez is 1457493439. The last update date is 2023-08-30.
Agnes Melissa Ibanez's current location address is 8011 Chicago St, Omaha, Nebraska. You can contact this provider via phone number 4025175773 and fax number 4025175773. The mailing address for Agnes Melissa Ibanez is 8011 Chicago St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Agnes Melissa Ibanez |
|---|---|
| Address | 8011 Chicago St, Omaha, Nebraska |
| Phone Number | 4025175773 |
| Fax Number | 4025175773 |
| Sole Proprietor | Y |
| Credentials | LPC LMHP |
NPI Number Detail
| NPI Number | 1457493439 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2023-08-30 |
Provider Mailing Address Detail
| Address | 8011 Chicago St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681143533 |
| Phone Number | 4025175773 |
| Fax Number | 4025175773 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 1106 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 247861 | MIDLANDS CHOICE | ||
| 10025862300 | NE | -- | |
| 84658 | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Agnes Melissa Ibanez by the Centers for Medicare & Medicaid Services?
The Agnes Melissa Ibanez has been assigned the NPI (National Provider Identifier) 1457493439 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Agnes Melissa Ibanez is geographically located?
The Agnes Melissa Ibanez is physically situated at the following location: 8011 Chicago St, Omaha, NE, 681143533.
What is the Agnes Melissa Ibanez's area of specialization and corresponding taxonomy classification?
The Agnes Melissa Ibanez's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date did the Agnes Melissa Ibanez receive the assignment of its 1457493439 from the Centers for Medicare & Medicaid Services?
The Agnes Melissa Ibanez was issued its 1457493439 by the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date were the Agnes Melissa Ibanez's details last updated?
The information pertaining to the Agnes Melissa Ibanez, including its address, specialty, and other details, was most recently updated on 2023-08-30.
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