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NPI Code Detail

MEDICARE: SOULUTIONS THERAPY, LLC

MEDICARE: SOULUTIONS THERAPY, LLC
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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538849393
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOULUTIONS THERAPY, LLC
Provider Business Mailing Address
First Line : 207 GALVIN RD N
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-4898
Country : US
Telephone Number : 402-940-7387
Fax Number : 402-702-0538
Provider Business Practice Location Address
First Line : 207 GALVIN RD N
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-4898
Country : US
Telephone Number : 402-940-7387
Fax Number : 402-702-0538
Authorized Official
Title or Position : OWNER, MENTAL HEALTH PROVIDER
Name : JANE POTTER
Credential : MS, LICSW, LIMHP
Telephone Number : 712-310-5231
Provider Enumeration Date : 07/18/2023
Last Update Date : 03/17/2026

Similar Medicare Providers

1376131706 — MRS. JANE POTTER MS,LMSW, LISW, LIMHP
Practice Location Address:
207 GALVIN RD N
BELLEVUE, NE
68005-4898
Practice Phone: 402-940-7387
Practice Fax: 402-702-0538
1386436665 — MS. CLAIRE FOLEY MS, PLMHP
Practice Location Address:
207 GALVIN RD N
BELLEVUE, NE
68005-4898
Practice Phone: 402-940-7387
Practice Fax: 402-702-0538
1851058036 — SHATAWNEE PETERSON MS, PMSW, PMHP
Practice Location Address:
207 GALVIN RD N
BELLEVUE, NE
68005-4898
Practice Phone: 402-929-4372
Practice Fax: 402-702-0538
1982481487 — PAIGE MACKENZIE BRECI MS, LIMHP
Practice Location Address:
207 GALVIN RD N
BELLEVUE, NE
68005-4898
Practice Phone: 402-940-7387
Practice Fax: 402-702-0538
1528755519 — MARIA VICTORIA ALFREY MS, LMSW, LMHP
Practice Location Address:
207 GALVIN RD N
BELLEVUE, NE
68005-4898
Practice Phone: 402-940-7387
Practice Fax: 402-702-0538
1265201453 — MS. HEATHER IRVIN MS,PMHP, PMSW
Practice Location Address:
207 GALVIN RD N
BELLEVUE, NE
68005-4898
Practice Phone: 402-940-7387
Practice Fax: 402-702-0538

Directions to “SOULUTIONS THERAPY, LLC ” Practice Location

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