Organization
MIND RAISING THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANA VALENTE GRACIO PLMHP (THERAPIST)
(531) 239-4701
Entity
Organization
Contact information
Practice address
10840 OLD MILL RD STE 300, OMAHA, NE 68154-2664
(531) 239-4701
Mailing address
10840 OLD MILL RD STE 300, OMAHA, NE 68154-2664
(531) 239-4701
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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