Provider Demographics
NPI:1295256501
Name:THIRD FORCE PSYCHOTHERAPY
Entity type:Organization
Organization Name:THIRD FORCE PSYCHOTHERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:G
Authorized Official - Last Name:KUHL
Authorized Official - Suffix:
Authorized Official - Credentials:MHR, LMHP, LPC
Authorized Official - Phone:402-651-0292
Mailing Address - Street 1:2027 N 50TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-4331
Mailing Address - Country:US
Mailing Address - Phone:402-651-0292
Mailing Address - Fax:
Practice Address - Street 1:1004 FARNAM ST STE 204
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-1885
Practice Address - Country:US
Practice Address - Phone:402-341-2230
Practice Address - Fax:402-341-2376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health