Teagan Macknight | Omaha, NE • PECOS Search

Teagan Macknight

Counselor

Behavioral Health & Social Service Providers

11308 Davenport St, Omaha, NE 68154-2630

(402) 915-2722 (402) 915-2755

PECOS Enrollment

Based on the most recent information from CMS, provider Teagan Macknight does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:51 AM.

Profile Details

Provider ID
1649059296
Provider Type
Individual
Full Name
Macknight, Teagan
Title
Ms.
Credential
LIMHP, LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/25/2023
Last Updated
1/8/2024

Contact Information

Practice Location

11308 Davenport St, Omaha, NE 68154-2630

Unlisted Fax

Mailing Location

11308 Davenport St, Omaha, NE 68154-2630

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 3467 Nebraska