Organization
ORIGINS HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA KAY MONZON MA (OWNER)
(402) 489-9990
Entity
Organization
Contact information
Practice address
2123 WINTHROP RD, SUITE B, LINCOLN, NE 68502-4156
(402) 489-9990
(402) 261-9202
Mailing address
2123 WINTHROP RD, SUITE B, LINCOLN, NE 68502-4156
(402) 489-9990
(402) 261-9202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LIMHP 1088; LADC 697
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253331-00
—
NE
Enumeration date
10/13/2015
Last updated
10/13/2015
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