# JULIE LUZARRAGA, INC

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

## Provider details

- **NPI number:** 1538366430
- **Authorized official:** JULIE ANN LUZARRAGA LICSW (OWNER)
- **Authorized official phone:** (402) 934-1617

## Contact information

- **Practice address:** 2126 N 117TH AVE, OMAHA, NE 68164-3670
- **Practice address phone:** (402) 934-1617
- **Practice address fax:** (402) 934-5228
- **Mailing address:** 1422 N 164TH ST, OMAHA, NE 68118-2479
- **Mailing address phone:** (402) 201-9665
- **Mailing address fax:** (402) 934-5228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1031 | NE | Yes |
| 1041C0700X | Clinical Social Worker | 2373 | NE | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 12/26/2023
