Provider Demographics
NPI:1639450927
Name:UMOJA COUNSELING
Entity Type:Organization
Organization Name:UMOJA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTALHEALTH THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LCSW,LIMHP,DSW
Authorized Official - Phone:402-706-4374
Mailing Address - Street 1:1941 S 42ND ST STE 433
Mailing Address - Street 2:3701 O STREET SUITE 204
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-2944
Mailing Address - Country:US
Mailing Address - Phone:402-706-4374
Mailing Address - Fax:
Practice Address - Street 1:3701 O ST STE 204
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1647
Practice Address - Country:US
Practice Address - Phone:402-706-4374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE908101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty