# OMAHA FAMILY COUNSELING PLACE LLC

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

## Provider details

- **NPI number:** 1437695913
- **Authorized official:** MR. TYLER BYRD (SOLE MEMBER)
- **Authorized official phone:** (402) 917-7825

## Contact information

- **Practice address:** 1710 N 144TH ST STE 4, OMAHA, NE 68154-4715
- **Practice address phone:** (402) 915-1061
- **Mailing address:** 1710 N 144TH ST STE 4, OMAHA, NE 68154-4715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 4758 | NE | Yes |

## Other

- **Enumeration date:** 01/09/2017
- **Last updated:** 01/09/2017
