Organization
SAGE COUNSELING OMAHA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN DEXTER PLMHP (OWNER)
(402) 885-6980
Entity
Organization
Contact information
Practice address
13808 U ST, OMAHA, NE 68137-2904
(402) 885-6980
Mailing address
13808 U ST, OMAHA, NE 68137-2904
(402) 885-6980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
01/03/2020
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