# OUR SUPPORTED HOMES

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

## Provider details

- **NPI number:** 1841575073
- **Authorized official:** MISS TARA MARY LORENSON LMIHP, MSW (CO-OWNER)
- **Authorized official phone:** (402) 540-0135

## Contact information

- **Practice address:** 20066 S 190TH ST, ADAMS, NE 68301-3023
- **Practice address phone:** (402) 328-8833
- **Practice address fax:** (402) 328-2921
- **Mailing address:** 20066 S 190TH ST, ADAMS, NE 68301-3023
- **Mailing address phone:** (402) 328-8833
- **Mailing address fax:** (402) 328-2921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 911 | NE | Yes |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 05/30/2013