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Organization
RENEWED HEALTH OUTREACH AND PSYCHOTHERAPY LLC
Active
Organization
RENEWED HEALTH OUTREACH AND PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT PAPENHAGEN (HR MANAGER)
(402) 937-1920
Entity
Organization
Contact information
Practice address
3510 VILLAGE DR STE B, LINCOLN, NE 68516-5363
(402) 937-1920
(402) 937-1955
Mailing address
3510 VILLAGE DR STE B, LINCOLN, NE 68516-5363
(402) 937-1920
(402) 937-1955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
10/21/2025
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