# OMAHA INTEGRATIVE CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Omaha Integrative Care for Fertility, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023302247
- **Authorized official:** MRS. JULIE ANN LUZARRAGA LICSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (402) 934-1617

## Contact information

- **Practice address:** 2126 N 117TH AVE, OMAHA, NE 68164-3670
- **Practice address phone:** (402) 934-1617
- **Practice address fax:** (402) 934-5228
- **Mailing address:** 2126 N 117TH AVE, OMAHA, NE 68164-3670
- **Mailing address phone:** (402) 934-1617
- **Mailing address fax:** (402) 934-5228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | 273 | NE | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/06/2011
- **Last updated:** 12/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100262127-00 | — | NE |