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Organization
AMANDA IKE THERAPY
Active
Organization
AMANDA IKE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA M IKE LCSW (OWNER)
(701) 580-0662
Entity
Organization
Contact information
Practice address
3031 S 87TH ST, OMAHA, NE 68124-3042
(701) 580-0662
Mailing address
3031 S 87TH ST, OMAHA, NE 68124-3042
(701) 580-0662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
12/04/2019
Last updated
12/12/2019
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