Healthcare Provider Details

I. General information

NPI: 1083566319
Provider Name (Legal Business Name): BW THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11707 M CIR
OMAHA NE
68137-2218
US

IV. Provider business mailing address

3706 N 84TH ST
OMAHA NE
68134-4811
US

V. Phone/Fax

Practice location:
  • Phone: 402-210-6869
  • Fax:
Mailing address:
  • Phone: 402-210-6869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BRITTNEY WILLIAMS
Title or Position: SOCIAL WORKER
Credential: LMHP, LMSW
Phone: 402-210-6869