Provider Demographics
NPI:1558867903
Name:SOBER COACHING, LLC
Entity Type:Organization
Organization Name:SOBER COACHING, LLC
Other - Org Name:SOBER COACHING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:RECOVERY COACH
Authorized Official - Phone:877-223-6680
Mailing Address - Street 1:17607 TROON CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-1525
Mailing Address - Country:US
Mailing Address - Phone:402-510-3100
Mailing Address - Fax:
Practice Address - Street 1:444 N 76TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3154
Practice Address - Country:US
Practice Address - Phone:877-223-6680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty