# ECLIPSE QUANTUM WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023897634
- **Authorized official:** NATALIE RENEE BUSSING LICSW (OWNER)
- **Authorized official phone:** (531) 222-4779

## Contact information

- **Practice address:** 4130 S 144TH ST, OMAHA, NE 68137-1013
- **Practice address phone:** (402) 819-9603
- **Practice address fax:** (402) 824-4233
- **Mailing address:** 4130 S 144TH ST, OMAHA, NE 68137-1013
- **Mailing address phone:** (402) 819-9603
- **Mailing address fax:** (402) 824-4233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2023
- **Last updated:** 10/05/2026