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General NPI Number Information
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NPI Number | 1114799673
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Entity Type | Organization
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Legal Business Name | THE YOUTZ GROUP, LLC
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 108 N 49TH ST
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City | OMAHA
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State | NE
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Zip | 68132-3172
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Country | US
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Telephone | 402-677-2692
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Fax | 531-329-6807
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Provider Business Mailing Address
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Address Line | 1449 S 12TH ST
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City | OMAHA
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State | NE
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Zip | 68108-3538
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Country | US
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Telephone | 402-677-2692
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST / OWNER
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Name | RYAN ALDEN YOUTZ
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Credential | LIMHP, CMSW
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Telephone | 402-677-2692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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