Organization
OUR SUPPORTED HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TARA MARY LORENSON LMIHP, MSW (CO-OWNER)
(402) 540-0135
Entity
Organization
Contact information
Practice address
20066 S 190TH ST, ADAMS, NE 68301-3023
(402) 328-8833
(402) 328-2921
Mailing address
20066 S 190TH ST, ADAMS, NE 68301-3023
(402) 328-8833
(402) 328-2921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
911
NE
Other
Enumeration date
10/19/2011
Last updated
05/30/2013
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