# KEEN MINDS LLC

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

## Provider details

- **NPI number:** 1568048726
- **Authorized official:** TRISHA HUMPHREY (ACCOUNT MANAGER)
- **Authorized official phone:** (402) 504-4680

## Contact information

- **Practice address:** 4905 S 107TH AVE, OMAHA, NE 68127-1965
- **Practice address phone:** (402) 819-1823
- **Mailing address:** 16101 GREBE ST, BENNINGTON, NE 68007-1255
- **Mailing address phone:** (402) 517-0839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2021
- **Last updated:** 08/26/2022