| Holding Space | |
|
2029 N Maxwell Ave Fremont NE 68025-2948 | |
| (402) 719-6724 | |
| Not Available |
| Full Name | Holding Space |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2029 N Maxwell Ave, Fremont, Nebraska |
| Authorized Official Name and Position | Brianna Sue Buesing (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4027196724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holding Space 2029 N Maxwell Ave Fremont NE 68025-2948 Ph: (402) 719-6724 | Holding Space 2029 N Maxwell Ave Fremont NE 68025-2948 Ph: (402) 719-6724 |
| NPI Number | 1992529606 |
|---|---|
| Provider Enumeration Date | 11/09/2024 |
| Last Update Date | 11/09/2024 |
| Certification Date | 11/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992529606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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