Provider Demographics
NPI:1912606856
Name:CSTHERAPY LLC
Entity Type:Organization
Organization Name:CSTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER/ THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, LISW, LIMHP
Authorized Official - Phone:402-427-4161
Mailing Address - Street 1:8216 CITY CENTER DR APT 648
Mailing Address - Street 2:
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-2954
Mailing Address - Country:US
Mailing Address - Phone:402-427-4161
Mailing Address - Fax:833-933-0633
Practice Address - Street 1:8031 W CENTER RD STE 204
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3134
Practice Address - Country:US
Practice Address - Phone:531-233-5007
Practice Address - Fax:833-933-0633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1487014346OtherINDIVIDUAL/ SOLO NPI 1