Organization
CHANGE GROW THRIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY PFEIFER ANSON (OWNER)
(308) 379-4388
Entity
Organization
Contact information
Practice address
11319 P ST, SUITE 2A, OMAHA, NE 68137-6302
(308) 379-4388
Mailing address
11319 P ST, SUITE 2A, OMAHA, NE 68137-6302
(308) 379-4388
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1479
NE
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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