RAINWOOD HEALING SPACE- LLC NPI 1235776147

NPI Information

NPI: 1235776147
Provider Name: RAINWOOD HEALING SPACE- LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
9910 N 48TH ST STE 111
OMAHA, NE
ZIP 68152
Phone: (402) 813-8244
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RAINWOOD HEALING SPACE- LLC is an addiction (substance use disorder) counselor in Omaha, NE. RAINWOOD HEALING SPACE- LLC NPI is 1235776147. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9910 N 48TH ST STE 111
OMAHA, NE
ZIP 68152-548
Phone: (402) 813-8244

The provider's authorized official is Tonya Marie Goodwin-daly .
The authorized official title is Owner/operator and has the following contact phone number (402) 813-8244.

The enumeration date for this NPI number is 12/10/2019 and was last updated on 12/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1437640760	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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