CANDACE MIZAUR LLC NPI 1538949508

NPI Information

NPI: 1538949508
Provider Name: CANDACE MIZAUR LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
9819 S 168TH AVE STE 6F
OMAHA, NE
ZIP 68136
Phone: (402) 807-0228
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CANDACE MIZAUR LLC is a mental health counselor in Omaha, NE. CANDACE MIZAUR LLC NPI is 1538949508. The provider is registered as an organization entity type.

The provider's business location address is:

9819 S 168TH AVE STE 6F
OMAHA, NE
ZIP 68136-154
Phone: (402) 807-0228

The provider's authorized official is Candace Mizaur .
The authorized official title is Owner and has the following contact phone number (402) 807-0228.

The enumeration date for this NPI number is 10/5/2023 and was last updated on 10/5/2023.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	101YM0800X	Counselor	Mental Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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