UNCONVENTIONAL HEALING NPI 1366186256

NPI Information

NPI: 1366186256
Provider Name: UNCONVENTIONAL HEALING
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4214 N 64TH ST
OMAHA, NE
ZIP 68104
Phone: (605) 354-7252
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UNCONVENTIONAL HEALING is a mental health counselor in Omaha, NE. UNCONVENTIONAL HEALING NPI is 1366186256. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4214 N 64TH ST
OMAHA, NE
ZIP 68104-605
Phone: (605) 354-7252

The provider's authorized official is Alee M Larson .
The authorized official title is Owner and has the following contact phone number (605) 354-7252.

The enumeration date for this NPI number is 4/26/2022 and was last updated on 4/26/2022.

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	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	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	50315351900	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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