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General NPI Number Information
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NPI Number | 1942931712
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Entity Type | Organization
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Legal Business Name | NAMASTE MENTAL HEALTH THERAPY
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 9802 NICHOLAS ST STE 305
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City | OMAHA
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State | NE
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Zip | 68114-2106
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Country | US
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Telephone | 402-616-9623
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Fax |
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Provider Business Mailing Address
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Address Line | 9802 NICHOLAS ST STE 305
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City | OMAHA
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State | NE
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Zip | 68114-2106
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Country | US
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Telephone | 402-616-9623
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Fax |
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Authorized Official
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Title or Position | OWNER & MANAGER
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Name | KEENAN KRICK
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Credential | LMHP, PHD
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Telephone | 402-616-9623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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