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NPI Code Detail

MEDICARE: DIGNITY HEALTH COLLECTIVE

MEDICARE: DIGNITY HEALTH COLLECTIVE
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1982412862
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIGNITY HEALTH COLLECTIVE
Provider Business Mailing Address
First Line : 2125 N 120TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68164-3477
Country : US
Telephone Number : 402-509-6876
Fax Number : 833-764-3755
Provider Business Practice Location Address
First Line : 2125 N 120TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68164-3477
Country : US
Telephone Number : 402-509-6876
Fax Number : 833-764-3755
Authorized Official
Title or Position : CO-EXECUTIVE DIRECTOR
Name : JULIE LUZARRAGA
Credential :
Telephone Number : 531-208-1023
Provider Enumeration Date : 12/23/2024
Last Update Date : 12/08/2025

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Directions to “DIGNITY HEALTH COLLECTIVE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.