Organization
ASPIRE AND REVIVE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RICHEY LICSW (OWNER)
(402) 715-0382
Entity
Organization
Contact information
Practice address
3677 N 129TH ST, OMAHA, NE 68164-5211
(402) 715-0382
Mailing address
530 CORDES DR APT 3, PAPILLION, NE 68046-2749
(402) 715-0382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470718409
—
NE
Enumeration date
02/27/2023
Last updated
11/10/2023
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