# POTTERS HAND INTEGRATIVE CARE LLC

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

## Provider details

- **NPI number:** 1922845379
- **Authorized official:** JAISY GIRIJA KUMAR (CEO & FOUNDER)
- **Authorized official phone:** (402) 350-2803

## Contact information

- **Practice address:** 13209 S 26TH AVE, BELLEVUE, NE 68123-1935
- **Practice address phone:** (402) 350-2803
- **Mailing address:** 13209 S 26TH AVE, BELLEVUE, NE 68123-1935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2024
- **Last updated:** 12/10/2024