Provider Demographics
NPI:1942931712
Name:NAMASTE MENTAL HEALTH THERAPY
Entity Type:Organization
Organization Name:NAMASTE MENTAL HEALTH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEENAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRICK
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP
Authorized Official - Phone:402-616-9623
Mailing Address - Street 1:9802 NICHOLAS ST STE 305
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2106
Mailing Address - Country:US
Mailing Address - Phone:402-616-9623
Mailing Address - Fax:
Practice Address - Street 1:9802 NICHOLAS ST STE 305
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2106
Practice Address - Country:US
Practice Address - Phone:402-616-9623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center