Provider Demographics
NPI:1578219127
Name:NURTURING HOPE THERAPY LLC
Entity Type:Organization
Organization Name:NURTURING HOPE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBAJE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:531-222-7861
Mailing Address - Street 1:3157 FARNAM ST
Mailing Address - Street 2:SUITE 7104 #7278
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131
Mailing Address - Country:US
Mailing Address - Phone:531-222-7861
Mailing Address - Fax:
Practice Address - Street 1:3157 FARNAM ST
Practice Address - Street 2:SUITE 7104 #7278
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131
Practice Address - Country:US
Practice Address - Phone:531-222-7861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty