Individual ProviderMichenzie BruceCounselorBehavioral Health & Social Service ProvidersPractice Address10845 Harney St, Omaha, NE 68154-2639(402) 916-9421PECOS EnrollmentBased on the most recent information from CMS, provider Michenzie Bruce is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1588208847Provider TypeIndividualFull NameBruce, MichenzieCredentialTLMHCGenderFemaleSole ProprietorYesEnumeration Date10/30/2019Last Updated7/8/2021Contact InformationPractice LocationPractice Address10845 Harney St, Omaha, NE 68154-2639Phone(402) 916-9421Fax(402) 999-8221Mailing LocationMailing Address10845 Harney St, Omaha, NE 68154-2639Phone(402) 916-9421Fax(402) 999-8221Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense2682Nebraska