OrganizationAlliance Counseling CenterCounselorBehavioral Health & Social Service ProvidersPractice Address11920 Burt St, Suite # 190, Omaha, NE 68154-1598(402) 965-4004PECOS EnrollmentBased on the most recent information from CMS, provider Alliance Counseling Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1114107711Provider TypeOrganizationFull NameAlliance Counseling CenterSubpartNoEnumeration Date11/12/2007Last Updated11/12/2007Contact InformationPractice LocationPractice Address11920 Burt St, Suite # 190, Omaha, NE 68154-1598Phone(402) 965-4004FaxUnlisted FaxMailing LocationMailing Address11920 Burt St, Suite # 190, Omaha, NE 68154-1598Phone(402) 965-4004FaxUnlisted FaxAuthorized OfficialNameNelsen, Susan Diane (Partner)Phone(402) 965-4004Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense633NebraskaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense1546NebraskaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense1461NebraskaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense1695NebraskaCode103T00000XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense283NebraskaProvider IdentifiersIDDescriptionIssuerID100253006-00DescriptionMedicaidIssuerUnlistedNebraska