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NPI 1083572036

NPI 1083572036 : WHOLE WAY WELL, LLC : OMAHA, NE

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General NPI Number Information
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    NPI Number           |    1083572036
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    Entity Type          |    Organization 
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    Legal Business Name  |    WHOLE WAY WELL, LLC 
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Dates
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    Enumeration Date     |    01/09/2026
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    Last Update Date     |    01/09/2026
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Provider Practice Location Address
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    Address Line         |    11207 W DODGE RD STE 250 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68154-2650
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    Country              |    US
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    Telephone            |    402-913-0537
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11207 W DODGE RD STE 250 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68154-2650
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER, THERAPIST
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    Name                 |     AMANDA  LAWRENCE 
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    Credential           |    PLMHP
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    Telephone            |    402-913-0537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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