MEDICARE: MRS. RACHEL MARIE BRABEC LIMHP, LMHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor
2	101YM0800X	Mental Health Counselor	1356	NE
3	101YM0800X	Mental Health Counselor
4	101YM0800X	Mental Health Counselor	8611	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8611	OTHER	NE	STATE OF NEBRASKA
2	1356	OTHER	NE	LIMHP
3	3788	OTHER	NE	LMHP

General Provider Information

NPI Number	:	1922266030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RACHEL MARIE BRABEC LIMHP, LMHP

Provider Business Mailing Address
First Line	:	3610 N 163RD PLZ STE 103
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68116-2164
Country	:	US
Telephone Number	:	315-355-5210
Fax Number	:	531-355-5211

Provider Business Practice Location Address
First Line	:	3610 N 163RD PLZ STE 103
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68116-2164
Country	:	US
Telephone Number	:	27-097-3704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2008
Last Update Date	:	08/03/2023

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