# RAINWOOD HEALING SPACE-LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RAINWOOD HEALING SPACE-LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093353096
- **Legal business name:** RAINWOOD HEALING SPACE-LLC
- **Authorized official:** TONYA M GOODWIN-DALY PLMHP, PLADC (OWNER, DUALLY LICENSED THERAPIST)
- **Authorized official phone:** (402) 813-8244

## Contact information

- **Practice address:** 9910 N 48TH ST STE 111, OMAHA, NE 68152-1548
- **Practice address phone:** (402) 813-8244
- **Practice address fax:** (844) 486-0274
- **Mailing address:** 9910 N 48TH ST STE 111, OMAHA, NE 68152-1548
- **Mailing address phone:** (402) 813-8244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2019
- **Last updated:** 04/27/2021