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Organization
RAINWOOD HEALING SPACE-LLC
Active
Organization
RAINWOOD HEALING SPACE-LLC
Active
Parent organization
RAINWOOD HEALING SPACE-LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAINWOOD HEALING SPACE-LLC
Authorized official
TONYA M GOODWIN-DALY PLMHP, PLADC (OWNER, DUALLY LICENSED THERAPIST)
(402) 813-8244
Entity
Organization
Contact information
Practice address
9910 N 48TH ST STE 111, OMAHA, NE 68152-1548
(402) 813-8244
(844) 486-0274
Mailing address
9910 N 48TH ST STE 111, OMAHA, NE 68152-1548
(402) 813-8244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
04/27/2021
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