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General NPI Number Information
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NPI Number | 1629905898
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Entity Type | Organization
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Legal Business Name | OPEN GATE THERAPY, LLC
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 1453 29TH AVE STE 6
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City | COLUMBUS
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State | NE
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Zip | 68601-4949
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Country | US
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Telephone | 402-910-3884
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Fax |
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Provider Business Mailing Address
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Address Line | 1453 29TH AVE STE 6
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City | COLUMBUS
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State | NE
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Zip | 68601-4949
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Country | US
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Telephone | 402-910-3884
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Fax |
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Authorized Official
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Title or Position | LICENSED INDEPENDENT MENTAL HEALTH
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Name | JULIANNE LAUDENKLOS
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Credential | LIMHP
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Telephone | 402-910-3884
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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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