MEDICARE: REDEFINE YOU THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1063205078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDEFINE YOU THERAPY LLC

Provider Business Mailing Address
First Line	:	8031 W CENTER RD STE 310
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-3134
Country	:	US
Telephone Number	:	402-802-7980
Fax Number	:

Provider Business Practice Location Address
First Line	:	10846 OLD MILL RD STE 2
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154-2652
Country	:	US
Telephone Number	:	402-802-7980
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TINA HOANG HUYNH
Credential	:	PLMHP PLADC
Telephone Number	:	402-802-7980

Provider Enumeration Date	:	05/23/2025
Last Update Date	:	12/16/2025

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Directions to “REDEFINE YOU THERAPY LLC ” Practice Location

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