Healthcare Provider Details

I. General information

NPI: 1629597117
Provider Name (Legal Business Name): TEAM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2017
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 N 24TH ST
OMAHA NE
68110-2252
US

IV. Provider business mailing address

PO BOX 19235
OMAHA NE
68119-0235
US

V. Phone/Fax

Practice location:
  • Phone: 402-451-5549
  • Fax: 402-502-0687
Mailing address:
  • Phone: 402-451-5549
  • Fax: 402-502-0687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0000
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00000
License Number StateNE

VIII. Authorized Official

Name: MS. GAYLA DANETTE CHAMBERS
Title or Position: CEO
Credential:
Phone: 402-451-5549