Jodi Lyn Petersen in Omaha - Mental Health

Jodi Lyn Petersen - NPI 1225175243

Jodi Lyn Petersen is a Mental Health in Omaha, Nebraska. Jodi Lyn Petersen practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jodi Lyn Petersen is 1225175243. The last update date is 2009-04-15.

Jodi Lyn Petersen's current location address is 11330 Q Street, Omaha, Nebraska. You can contact this provider via phone number 4025972126 and fax number 4025972326. The mailing address for Jodi Lyn Petersen is 11330 Q Street, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Jodi Lyn Petersen
Address 11330 Q Street, Omaha, Nebraska
Phone Number 4025972126
Fax Number 4025972326
Sole Proprietor Y
Credentials MS, NCC, L

NPI Number Detail

NPI Number 1225175243
Provider Enumeration Date 2007-01-31
Last Updated Date 2009-04-15

Provider Mailing Address Detail

Address 11330 Q Street
City Omaha
State Nebraska (NE)
Post Code 68137
Phone Number 4025972126
Fax Number 4025972326

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No LMHP 3080
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Jodi Lyn Petersen

What is the unique 10-digit identification code issued to Jodi Lyn Petersen by the Centers for Medicare & Medicaid Services?

The Jodi Lyn Petersen has been assigned the NPI (National Provider Identifier) 1225175243 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Jodi Lyn Petersen's facilities are situated?

The facilities of Jodi Lyn Petersen are physically located at the following address: 11330 Q Street, Omaha, NE, 68137.

What is Jodi Lyn Petersen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jodi Lyn Petersen's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.

On what date was the 1225175243 assigned to Jodi Lyn Petersen?

The Jodi Lyn Petersen was issued its 1225175243 on 2007-01-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jodi Lyn Petersen most recently updated?

The details pertaining to the Jodi Lyn Petersen, including its address, specialty, and other relevant information, were last refreshed on 2009-04-15.

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