MEDICARE: TEAM INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	4528	NE
2	101YM0800X	Mental Health Counselor	4251	NE
3	101YM0800X	Mental Health Counselor	9245	NE
4	101YM0800X	Mental Health Counselor	9347	NE
5	101YP2500X	Professional Counselor	2077	NE
6	101YP2500X	Professional Counselor	2202	NE
7	163WA2000X	Administrator Registered Nurse	39546	NE
8	374U00000X	Home Health Aide	77942	NE
9	101YA0400X	Addiction (Substance Use Disorder) Counselor
10	101YM0800X	Mental Health Counselor
11	101YM0800X	Mental Health Counselor	26	NE

General Provider Information

NPI Number	:	1457405276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEAM INC

Provider Business Mailing Address
First Line	:	PO BOX 19235
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68119-0235
Country	:	US
Telephone Number	:	402-451-5549
Fax Number	:

Provider Business Practice Location Address
First Line	:	2505 N 24TH ST
Second Line	:	201
City	:	OMAHA
State	:	NE
Zip	:	68110-2252
Country	:	US
Telephone Number	:	402-451-5549
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MISS GAYLA DANETTE CHAMBERS
Credential	:
Telephone Number	:	402-451-5549

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/21/2022

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Directions to “TEAM INC ” Practice Location

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