Provider Demographics
NPI:1619450061
Name:FOCUS THERAPY A WEST OMAHA COUNSELING PRACTICE
Entity Type:Organization
Organization Name:FOCUS THERAPY A WEST OMAHA COUNSELING PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MELINE
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP LISW
Authorized Official - Phone:402-513-4416
Mailing Address - Street 1:8920 N 169TH ST
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007
Mailing Address - Country:US
Mailing Address - Phone:402-513-4416
Mailing Address - Fax:402-513-2968
Practice Address - Street 1:3520 N 163RD PLAZA SUITE 6
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116
Practice Address - Country:US
Practice Address - Phone:402-513-4416
Practice Address - Fax:402-513-2968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty