Provider Demographics
NPI:1265919476
Name:LIVING-IN-TRUTH LLC
Entity type:Organization
Organization Name:LIVING-IN-TRUTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:META
Authorized Official - Last Name:STENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:PLMHP, PLADAC
Authorized Official - Phone:402-905-6296
Mailing Address - Street 1:PO BOX 11275
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-0275
Mailing Address - Country:US
Mailing Address - Phone:402-905-6296
Mailing Address - Fax:
Practice Address - Street 1:2551 SPAULDING ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-2986
Practice Address - Country:US
Practice Address - Phone:402-905-6296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1537101YA0400X
NE11415101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty