Provider Demographics
NPI:1093810343
Name:BOWLBY-SAFRANEK, ARYN MONET (MS, LMHP, LADC)
Entity Type:Individual
Prefix:MRS
First Name:ARYN
Middle Name:MONET
Last Name:BOWLBY-SAFRANEK
Suffix:
Gender:F
Credentials:MS, LMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4835 MANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-3013
Mailing Address - Country:US
Mailing Address - Phone:402-672-1690
Mailing Address - Fax:
Practice Address - Street 1:4565 S 133RD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1142
Practice Address - Country:US
Practice Address - Phone:402-590-2947
Practice Address - Fax:402-590-2030
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE46101YM0800X
NE1233101YM0800X
NE2200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10028133700Medicaid
NE47083066226Medicaid
NE84270OtherBXBS PROVIDER NUMBER
NE100250576-00Medicaid
NE47083066228Medicaid