Organization
AUTHENTIC LIFE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL HAGER LMHP (OWNER)
(402) 213-0244
Entity
Organization
Contact information
Practice address
8790 F ST, OMAHA, NE 68127-1524
(402) 213-0244
(402) 702-1540
Mailing address
8790 F ST, OMAHA, NE 68127-1524
(402) 213-0244
(402) 702-1540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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