Healthcare Provider Details

I. General information

NPI: 1629905898
Provider Name (Legal Business Name): OPEN GATE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1453 29TH AVE STE 6
COLUMBUS NE
68601-4949
US

IV. Provider business mailing address

1453 29TH AVE STE 6
COLUMBUS NE
68601-4949
US

V. Phone/Fax

Practice location:
  • Phone: 402-910-3884
  • Fax:
Mailing address:
  • Phone: 402-910-3884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: JULIANNE LAUDENKLOS
Title or Position: LICENSED INDEPENDENT MENTAL HEALTH
Credential: LIMHP
Phone: 402-910-3884