Healthcare Provider Details

I. General information

NPI: 1780498519
Provider Name (Legal Business Name): PIECES OF ME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20214 VETERANS DR STE 700
ELKHORN NE
68022-6922
US

IV. Provider business mailing address

13554 W CIR
OMAHA NE
68137-3017
US

V. Phone/Fax

Practice location:
  • Phone: 402-237-8621
  • Fax:
Mailing address:
  • Phone: 402-658-3265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ABBEY JONES
Title or Position: OWNER/CLINICIAN
Credential:
Phone: 402-658-3265