Organization
SLB
Active
Other names
Central Omaha Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BEISTER LICSW (THERAPIST)
(492) 718-6444
Entity
Organization
Contact information
Practice address
1941 S 42ND ST, OMAHA, NE 68105-2939
(402) 718-6444
Mailing address
16520 ADAMS CIR, OMAHA, NE 68135-5351
(402) 718-6444
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027071800
—
NE
Enumeration date
04/11/2022
Last updated
06/04/2022
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