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WOMEN'S EMPOWERING LIFE LINE INC. NPI 1568978385


NPI Information

NPI: 1568978385
Provider Name: WOMEN'S EMPOWERING LIFE LINE, INC.
Classification: Peer Specialist - 175T00000X
Entity Type: Organization
Address:
910 W PARK AVE
NORFOLK, NE
ZIP 68701
Phone: (402) 379-3622
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WOMEN'S EMPOWERING LIFE LINE, INC. is a peer specialist in Norfolk, NE. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. WOMEN'S EMPOWERING LIFE LINE, INC. NPI is 1568978385. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

910 W PARK AVE
NORFOLK, NE
ZIP 68701-044
Phone: (402) 379-3622
Fax: (402) 664-4593

The provider's authorized official is Donielle Larson .
The authorized official title is Executive Director and has the following contact phone number (402) 379-3622.

The enumeration date for this NPI number is 12/15/2017 and was last updated on 12/15/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175T00000XPeer SpecialistYes

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
1100252183-00MEDICAIDNEBRASKA

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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