# RYAN EVANS COUNSELING, LLC

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

## Provider details

- **NPI number:** 1063990984
- **Authorized official:** MR. RYAN THOMAS EVANS LIMHP, LADC (OWNER)
- **Authorized official phone:** (402) 330-1537

## Contact information

- **Practice address:** 12728 AUGUSTA AVE STE 150, OMAHA, NE 68144-3753
- **Practice address phone:** (402) 330-1537
- **Practice address fax:** (402) 330-9331
- **Mailing address:** 12728 AUGUSTA AVE STE 150, OMAHA, NE 68144-3753
- **Mailing address phone:** (402) 330-1537
- **Mailing address fax:** (402) 330-9331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1189 | NE | — |
| 101YM0800X | Mental Health Counselor | 1692 | NE | Yes |
| 101YP2500X | Professional Counselor | — | NE | — |

## Other

- **Enumeration date:** 08/02/2018
- **Last updated:** 08/02/2018