Organization
TRIUMPHANT MIND COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER A SHERMAN LICSW, LIMHP, PLMHP (OWNER)
(402) 681-3651
Entity
Organization
Contact information
Practice address
11707 S 110TH AVE, PAPILLION, NE 68046-5555
(402) 681-3651
Mailing address
11707 S 110TH AVE, PAPILLION, NE 68046-5555
(402) 681-3651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184135576
NPI NUMBER
—
Enumeration date
09/27/2018
Last updated
12/15/2020
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