Organization Name: | TRAUMA THERAPY SPECIALTIES |
NPI Number: | 1003152463 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH L WINCKLER (CEO) |
Mailing Address: | 11330 Q St Ste # 219 Omaha |
State: | NE US |
Postal Code: | 681373679 |
Phone Number: | 4024903672 |
Fax Number: | 4025972349 |
NPI Enumeration Date: | 12/12/2012 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | #538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |