Provider Demographics
NPI:1841088176
Name:FEAIRS, TOSHA R
Entity type:Individual
Prefix:
First Name:TOSHA
Middle Name:R
Last Name:FEAIRS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9215 MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2228
Mailing Address - Country:US
Mailing Address - Phone:402-719-2438
Mailing Address - Fax:
Practice Address - Street 1:8615 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-1441
Practice Address - Country:US
Practice Address - Phone:402-719-2438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service