OrganizationMoreno TherapyCounselorBehavioral Health & Social Service ProvidersPractice Address256 N 115th St Ste 3, Omaha, NE 68154-2558(402) 660-9555PECOS EnrollmentBased on the most recent information from CMS, provider Moreno Therapy 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 ID1851916373Provider TypeOrganizationFull NameMoreno TherapySubpartNoEnumeration Date6/10/2020Last Updated11/14/2024Contact InformationPractice LocationPractice Address256 N 115th St Ste 3, Omaha, NE 68154-2558Phone(402) 660-9555FaxUnlisted FaxMailing LocationMailing Address256 N 115th St Ste 3, Omaha, NE 68154-2558Phone(402) 660-9555FaxUnlisted FaxAuthorized OfficialNameMoreno, Dominique Ray (Therapist)Phone(402) 660-9555Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1790238665DescriptionMedicaidIssuerUnlistedNebraska