Provider Demographics
NPI:1164098513
Name:RAYEBROOK BEHAVIORAL HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:RAYEBROOK BEHAVIORAL HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWDING
Authorized Official - Suffix:
Authorized Official - Credentials:PLMHP
Authorized Official - Phone:402-730-2021
Mailing Address - Street 1:4344 N 62ND ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68507-1215
Mailing Address - Country:US
Mailing Address - Phone:402-730-2021
Mailing Address - Fax:
Practice Address - Street 1:4344 N 62ND ST STE 1
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68507-1215
Practice Address - Country:US
Practice Address - Phone:402-730-2021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAYEBROOK BEHAVIORAL HEALTH AND WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-27
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1649864091OtherSELF-PAY