Provider Demographics
NPI:1689702060
Name:RAINBOW OF HOPE
Entity Type:Organization
Organization Name:RAINBOW OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:LADC PLMHP
Authorized Official - Phone:402-292-7335
Mailing Address - Street 1:2009 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-5055
Mailing Address - Country:US
Mailing Address - Phone:402-292-7335
Mailing Address - Fax:402-292-2110
Practice Address - Street 1:2009 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-5055
Practice Address - Country:US
Practice Address - Phone:402-292-7335
Practice Address - Fax:402-292-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health