Provider Demographics
NPI:1043980451
Name:TAMA HEALING
Entity Type:Organization
Organization Name:TAMA HEALING
Other - Org Name:TAMA HEALING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:OUMARIA MAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PLMHP,PLCSW
Authorized Official - Phone:402-612-6824
Mailing Address - Street 1:14720 KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-4514
Mailing Address - Country:US
Mailing Address - Phone:402-612-6824
Mailing Address - Fax:
Practice Address - Street 1:7805 L ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1855
Practice Address - Country:US
Practice Address - Phone:402-612-6824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty