RAINWOOD HEALING SPACE-LLC (NPI# 1093353096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093353096 |
Entity Type | Organization |
Organization Name | RAINWOOD HEALING SPACE-LLC |
Practice Address |
9910 N 48th St Ste 111 Omaha NE 68152-1548 |
Practice Telephone | 4028138244 |
Mailing Telephone | 4028138244 |
Enumeration Date | 2019-12-20 |
Last Update Date | 2019-12-20 |
Authorized Official Name | TONYA M GOODWIN-DALY (OWNER, THERAPIST) |
Authorized Official Telephone | 4028138244 |
Authorized Official Credential | BS,MS,PLADC |
Is Organization Subpart | Y |
Parent Organization Name | RAINWOOD HEALING CENTER-LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
9910 N 48TH ST STE 111 |
City | OMAHA |
State | NE |
Zip Code | 68152-1548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437640760 | Tonya M Goodwin-daly | Counselor | 9910 N 48th St Ste 111, Omaha, NE 68152-1548 | 2018-05-22 |
1235776147 | Rainwood Healing Space- LLC | Counselor | 9910 N 48th St Ste 111, Omaha, NE 68152-1548 | 2019-12-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811392889 | Molly Motsinger | Physical Therapy Assistant | 6020 Country Club Oaks Place, Omaha, NE 68152 | 2014-11-03 |
1043625023 | Joseph Kent | Psychiatry & Neurology | 7101 Newport Ave Dept Of, Omaha, NE 68152 | 2014-06-27 |
1043588924 | Generation Hope Family Counseling & Consulting | Counselor | 6677 Sorensen Parkway, Omaha, NE 68152 | 2011-12-07 |
1144534736 | Stefany Bowden | Speech-Language Pathologist | 12849 Calhoun Rd, Omaha, NE 68152-1117 | 2010-08-05 |
1255783742 | Horseplay Acres Therapy Services | Speech-Language Pathologist | 12849 Calhoun Rd, Omaha, NE 68152-1117 | 2016-07-07 |
1588006993 | Jessica M Vandercoy | Counselor | 5605 Northern Hills Dr, Omaha, NE 68152-1192 | 2013-07-26 |
1699947853 | Erika Lee | Physical Therapist | 6533 Country Squire Ln, Omaha, NE 68152-1411 | 2008-03-27 |
1336365311 | Kelly S. Schroeder | Emergency Medicine | 10985 N 60th St, Omaha, NE 68152-1459 | 2007-04-18 |
1477875649 | James Bane | General Practice | 11106 N 61st St, Omaha, NE 68152-1470 | 2010-02-15 |
1518059393 | Marcia Ann Jensen | Nurse Anesthetist, Certified Registered | 8711 N 57th St, Omaha, NE 68152-1714 | 2006-09-29 |
Find all providers in zip 68152 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154930386 | Harry D Washington IIi | Counselor | 1299 Farnam, Omaha, NE 68105-6811 | 2020-07-23 |
1003432386 | Judi Scott | Counselor | 9733 Grant St, Omaha, NE 68134-5619 | 2020-06-22 |
1508481086 | William Sean Mcneil | Counselor | 3128 N 168th Ave, Omaha, NE 68116-2614 | 2020-06-10 |
1063048114 | Tiffany Gormley | Counselor | 18047 Oak St, Omaha, NE 68130-6093 | 2020-03-20 |
1851939565 | Mat Lavern Zollicoffer | Counselor | 1502 N 58th St, Omaha, NE 68104-4820 | 2019-12-12 |
1184269235 | Gary Darryl Mosley Sr. | Counselor | Tamarak Building Suite 101 G, 3035 Harney Street, Omaha, NE 68131-3500 | 2019-11-13 |
1437792439 | Lisa Ann Osler | Counselor | 1301 S 31st St Apt 15, Omaha, NE 68105-2048 | 2019-10-22 |
1154970176 | Loren Dexter | Counselor | 13808 U St, Omaha, NE 68137-2904 | 2019-09-11 |
1912550823 | Kelley A Lutjen | Counselor | 401 S 39th St, Omaha, NE 68131-3710 | 2019-07-19 |
1356908735 | David Brinkerhoff Ballard IIi | Counselor | 902 N 95th Plz Apt 5, Omaha, NE 68114-2561 | 2019-05-21 |
Find all providers in OMAHA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.