111 FREE INC. NPI 1942929708

NPI Information

NPI: 1942929708
Provider Name: 111 FREE, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1941 S 42ND ST STE 426
OMAHA, NE
ZIP 68105
Phone: (402) 874-4111
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111 FREE, INC. is a mental health counselor in Omaha, NE. 111 FREE, INC. NPI is 1942929708. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1941 S 42ND ST STE 426
OMAHA, NE
ZIP 68105-988
Phone: (402) 874-4111

The provider's authorized official is Geraldine Nmn Alexis .
The authorized official title is President and has the following contact phone number (402) 874-4111.

The enumeration date for this NPI number is 8/24/2022 and was last updated on 9/14/2022.

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	License Number	License State	Primary
1	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	10027354001	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: 4/28/2024

NPI Synchronization or Removal

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