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General NPI Number Information
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NPI Number | 1891633962
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Entity Type | Organization
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Legal Business Name | BREAKING THE LOOP BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 11640 ARBOR ST STE 101
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City | OMAHA
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State | NE
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Zip | 68144-5007
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Country | US
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Telephone | 402-287-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S 21ST ST STE 400A
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City | LINCOLN
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State | NE
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Zip | 68510-1044
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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
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Name | CAITLIN ALEXIS CROSBY CLEM
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Credential | LCSW, LISW, LIMHP
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Telephone | 803-800-9313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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