Organization
LIFESPAN THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY A. JOHNSON (LCSW)
(402) 225-6360
Entity
Organization
Contact information
Practice address
308 N LOCUST ST STE 401, GRAND ISLAND, NE 68801-5901
(402) 225-6360
(402) 998-1565
Mailing address
1107 NEBRASKA AVE, GRAND ISLAND, NE 68801-8103
(308) 380-8555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/19/2020
Last updated
09/24/2025
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