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ADVANCED PSYCHOTHERAPY LLC NPI 1720408602


NPI Information

NPI: 1720408602
Provider Name: ADVANCED PSYCHOTHERAPY LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1919 S 40TH ST STE 206
LINCOLN, NE
ZIP 68506
Phone: (402) 540-2973
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ADVANCED PSYCHOTHERAPY LLC is a counselor in Lincoln, NE. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. ADVANCED PSYCHOTHERAPY LLC NPI is 1720408602. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1919 S 40TH ST STE 206
LINCOLN, NE
ZIP 68506-247
Phone: (402) 540-2973
Fax: (888) 959-0716

The provider's authorized official is Seth Brown .
The authorized official title is Owner and has the following contact phone number (402) 540-2973.

The enumeration date for this NPI number is 4/18/2014 and was last updated on 6/5/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor576NEBRASKAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110026189000MEDICAIDNEBRASKA

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: 4/28/2024

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