Organization Name: | ORIGINS HEALTH AND WELLNESS, LLC |
NPI Number: | 1790156040 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRICIA KAY MONZON (OWNER) |
Mailing Address: | 2123 Winthrop Rd Suite B Lincoln |
State: | NE US |
Postal Code: | 685024156 |
Phone Number: | 4024899990 |
Fax Number: | 4022619202 |
NPI Enumeration Date: | 10/13/2015 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LIMHP 1088; LADC 697 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |