Organization
REBIRTH COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA WILLIAMS SMITH MS, LMHP (EXECUTIVE DIRECTOR)
(402) 210-6766
Entity
Organization
Contact information
Practice address
4964 GROVER, OMAHA, NE 68106
(402) 991-2323
(402) 991-2078
Mailing address
4964 GROVER, OMAHA, NE 68106
(402) 991-2323
(402) 991-2078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2554
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025658500
—
NE
Enumeration date
08/27/2008
Last updated
08/27/2008
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