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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811262314 NPPES
Kansas MEDICAID 200867540A

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