Healthcare Provider Details

I. General information

NPI: 1922920545
Provider Name (Legal Business Name): EMILY WIEMERS THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7426 N 161ST ST
BENNINGTON NE
68007-5616
US

IV. Provider business mailing address

7426 N 161ST ST
BENNINGTON NE
68007-5616
US

V. Phone/Fax

Practice location:
  • Phone: 970-541-9034
  • Fax:
Mailing address:
  • Phone: 970-541-9034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. EMILY KAYE WIEMERS
Title or Position: MENTAL HEALTH PRACTITIONER
Credential: LIMHP
Phone: 402-625-0008