Change Grow Thrive, LLC

Organization Active NPI Professional Counselor · Omaha, NE

NPI 1750736633 · NPPES record last updated Apr 28, 2016

Key facts

NPI
1750736633
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
License
1479 (NE)
Legal business name
CHANGE GROW THRIVE, LLC
Practice address
11319 P St
Suite 2a
Omaha, NE 68137-6302
Phone
(308) 379-4388
NPI assigned
Apr 28, 2016
Organization subpart
No

Authorized official

Name
Emily Pfeifer Anson
Title
Owner
Phone
(308) 379-4388

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

11319 P St
Ste 2A
Omaha, NE 68137
Phone (308) 379-4388

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X 1479 NE Yes

Addresses

Primary practice location

11319 P St
Suite 2a
Omaha, NE 68137-6302

Mailing address

11319 P St
Suite 2a
Omaha, NE 68137-6302
Phone (308) 379-4388

Other providers in Omaha, NE

All providers in Omaha, NE · Professional Counselor in Nebraska

Sources for this page

Verify at the official NPI Registry.