# MIND RAISING THERAPY LLC

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

## Provider details

- **NPI number:** 1679155667
- **Authorized official:** JOANA VALENTE GRACIO PLMHP (THERAPIST)
- **Authorized official phone:** (531) 239-4701

## Contact information

- **Practice address:** 10840 OLD MILL RD STE 300, OMAHA, NE 68154-2664
- **Practice address phone:** (531) 239-4701
- **Mailing address:** 10840 OLD MILL RD STE 300, OMAHA, NE 68154-2664
- **Mailing address phone:** (531) 239-4701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2021
- **Last updated:** 04/28/2021