# A DESIRED LIFE THERAPY AND COUNSELING

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

## Provider details

- **NPI number:** 1881958916
- **Authorized official:** JAMIE LYNN KAIPUST CMSW, LMHP, LIMHP (LICSW)
- **Authorized official phone:** (402) 990-7362

## Contact information

- **Practice address:** 8031 W CENTER RD, SUITE 210, OMAHA, NE 68124-3158
- **Practice address phone:** (402) 990-7362
- **Practice address fax:** (402) 763-8915
- **Mailing address:** 8031 W CENTER RD, SUITE 210, OMAHA, NE 68124-3158
- **Mailing address phone:** (402) 990-7362
- **Mailing address fax:** (402) 763-8915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 3573 | NE | — |
| 1041C0700X | Clinical Social Worker | 661 | NE | Yes |

## Other

- **Enumeration date:** 07/03/2012
- **Last updated:** 07/03/2012