MEDICARE: RED SOFA MENTAL HEALTH, 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1487505558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED SOFA MENTAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	4471 41ST AVE # 1017
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-9405
Country	:	US
Telephone Number	:	402-277-8707
Fax Number	:	402-260-7223

Provider Business Practice Location Address
First Line	:	4471 41ST AVE # 1017
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-9405
Country	:	US
Telephone Number	:	402-277-8707
Fax Number	:	402-260-7223

Authorized Official
Title or Position	:	OWNER
Name	:	BRANDI NICOLE DANIELS
Credential	:	PMHNP-BC
Telephone Number	:	210-452-9335

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “RED SOFA MENTAL HEALTH, LLC ” Practice Location

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