# AMANDA IKE THERAPY

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

## Provider details

- **NPI number:** 1831736289
- **Authorized official:** AMANDA M IKE LCSW (OWNER)
- **Authorized official phone:** (701) 580-0662

## Contact information

- **Practice address:** 3031 S 87TH ST, OMAHA, NE 68124-3042
- **Practice address phone:** (701) 580-0662
- **Mailing address:** 3031 S 87TH ST, OMAHA, NE 68124-3042
- **Mailing address phone:** (701) 580-0662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 12/04/2019
- **Last updated:** 12/12/2019