Stallings, Jessica Ann
Stallings, Jessica Ann is an sole proprietor health care provider with primary practice located at 621 N 51St St , Omaha NE 68132. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Stallings, Jessica Ann can be contacted via phone (402) 799-1199.Contact Information
Primary practice address
621 N 51St St
Omaha NE 68132
Phone: (402) 799-1199
Fax: (402) 939-8989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 5155 | Nebraska |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5155 | Nebraska |
Profile Details
| NPI number | 1811262314 |
|---|---|
| LBN Legal business name | Stallings, Jessica Ann |
| Credentials | DAT, ATR-BC, LMHP, L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2012 |
| Last updated | Aug 7th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811262314 | NPPES |
| Kansas | MEDICAID | 200867540A |
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