Individual ProviderLaurie St. PatrickCounselorBehavioral Health & Social Service ProvidersPractice Address11717 Burt St Ste 101, Omaha, NE 68154-1500(402) 659-0943PECOS EnrollmentBased on the most recent information from CMS, provider Laurie St. Patrick 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 ID1346994563Provider TypeIndividualFull NameSt. Patrick, LaurieGenderFemaleSole ProprietorYesEnumeration Date2/7/2022Last Updated7/1/2024Contact InformationPractice LocationPractice Address11717 Burt St Ste 101, Omaha, NE 68154-1500Phone(402) 659-0943FaxUnlisted FaxMailing LocationMailing Address18728 W St, Omaha, NE 68135-4168Phone(402) 659-0943FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense3492NebraskaCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseP1929NebraskaCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense3492NebraskaProvider IdentifiersIDDescriptionIssuerID3492DescriptionOtherIssuerLICENSE (LIMHP)Nebraska