Healthcare Provider Details

I. General information

NPI: 1891633962
Provider Name (Legal Business Name): BREAKING THE LOOP BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11640 ARBOR ST STE 101
OMAHA NE
68144-5007
US

IV. Provider business mailing address

200 S 21ST ST STE 400A
LINCOLN NE
68510-1044
US

V. Phone/Fax

Practice location:
  • Phone: 402-287-7100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CAITLIN ALEXIS CROSBY CLEM
Title or Position: OWNER
Credential: LCSW, LISW, LIMHP
Phone: 803-800-9313