BRIAN SHAW PSYCHOTHERAPY LLC NPI 1417497355

NPI Information

BRIAN SHAW PSYCHOTHERAPY, LLC is an adult mental health clinic center in Omaha, NE. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. BRIAN SHAW PSYCHOTHERAPY, LLC NPI is 1417497355. The provider is registered as an organization entity type.

The provider's business location address is:

6910 PACIFIC ST
320
OMAHA, NE
ZIP 68106-054
Phone: (402) 881-5475

The provider's authorized official is Brian Kenneth Shaw .
The authorized official title is Clinical Social Worker/owner and has the following contact phone number (402) 881-5475.

The enumeration date for this NPI number is 2/26/2017 and was last updated on 2/26/2017.

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:

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