Healthcare Provider Details

I. General information

NPI: 1255249488
Provider Name (Legal Business Name): W.W.G. THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19701 LACI ST
OMAHA NE
68135-4265
US

IV. Provider business mailing address

19701 LACI ST
OMAHA NE
68135-4265
US

V. Phone/Fax

Practice location:
  • Phone: 402-205-2022
  • Fax: 402-205-2022
Mailing address:
  • Phone: 402-205-2022
  • Fax: 402-205-2022

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: EMILY NIESS
Title or Position: THERAPIST/OWNER
Credential: LIMHP
Phone: 402-205-2022