# PARKER NEUROSCIENCE, LLC

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

## Provider details

- **NPI number:** 1104760206
- **Authorized official:** DR. LISA KOLLASCH PARKER NP (OWNER/CLINIC DIRECTOR)
- **Authorized official phone:** (402) 915-1862

## Contact information

- **Practice address:** 17940 WELCH PLZ STE 106, OMAHA, NE 68135-3714
- **Practice address phone:** (402) 915-1862
- **Mailing address:** 17940 WELCH PLZ STE 106, OMAHA, NE 68135-3714
- **Mailing address phone:** (402) 915-1862
- **Mailing address fax:** (402) 817-3761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | — | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2026
- **Last updated:** 08/25/2026
