| Change Grow Thrive, Llc | |
|
11319 P St Suite 2a Omaha NE 68137-6302 | |
| (308) 379-4388 | |
| Not Available |
| Full Name | Change Grow Thrive, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11319 P St, Omaha, Nebraska |
| Authorized Official Name and Position | Emily Pfeifer Anson (OWNER) |
| Authorized Official Contact | 3083794388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Grow Thrive, Llc 11319 P St Suite 2a Omaha NE 68137-6302 Ph: (308) 379-4388 | Change Grow Thrive, Llc 11319 P St Suite 2a Omaha NE 68137-6302 Ph: (308) 379-4388 |
| NPI Number | 1750736633 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750736633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1479 (Nebraska) | Primary |
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