Provider Demographics
NPI:1063038040
Name:RESOLVE AND RISE COUNSELING AND CONSULTING LLC
Entity Type:Organization
Organization Name:RESOLVE AND RISE COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIEHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-431-3659
Mailing Address - Street 1:8869 N 83RD AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-2261
Mailing Address - Country:US
Mailing Address - Phone:402-431-3659
Mailing Address - Fax:
Practice Address - Street 1:8869 N 83RD AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-2261
Practice Address - Country:US
Practice Address - Phone:402-431-3659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)