Organization
BEAR COMPANY LLC
Active
Other names
Bear Company Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAYTON JIBRI HOGAN (CEO/OWNER)
(402) 819-9712
Entity
Organization
Contact information
Practice address
5858 WENNINGHOFF RD STE 2, OMAHA, NE 68134-1911
(402) 512-3475
(402) 206-2759
Mailing address
5858 WENNINGHOFF RD STE 2, OMAHA, NE 68134-1911
(402) 512-3475
(402) 206-2759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027143800
—
NE
05
—
10027143802
—
NE
Enumeration date
06/10/2022
Last updated
12/11/2023
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