Organization · NPI-2

Julie Ross, Lcsw, Lmhp, LLC

Clinic/Center, Adult Mental Health · Fremont, NE

NPI number1235648668
StatusActive
Last updated in NPPESNov 7, 2017

Details

NPI
1235648668
Entity type
Organization (NPI-2)
Legal business name
Julie Ross, Lcsw, Lmhp, LLC
Organization subpart
No
Enumeration date
Sep 28, 2017
Last updated
Nov 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health918NEYes
261QM0855X Clinic/Center, Adolescent and Children Mental Health918NE

Practice location

1627 E Military Ave Ste 200
Fremont, NE 68025-5490

Phone 402-727-4886 · Fax 402-727-4146

Mailing address

1738 Parkview Dr
Fremont, NE 68025-4484

Phone 402-727-1681

Authorized official

Julie Diane Ross
Licensed Clinical Social Worker
4027271681

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