National Provider Identifier Database

RENEWED VISION COUNSELING AND DEVELOPMENTAL DISABILITY CENTER PC
Mental Health


Contact Information

RENEWED VISION COUNSELING AND DEVELOPMENTAL DISABILITY CENTER PC
4610 S. 133RD ST
SUITE 106
OMAHA, NE68137-1133
Phone: 402-275-6413
Fax:
Website:
Specialty Taxonomy Code
* Mental Health 101YM0800X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Day Training, Developmentally Disabled Services 251C00000X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for RENEWED VISION COUNSELING AND DEVELOPMENTAL DISABILITY CENTER PC

NPI Number 1174122170
Legal business name
LBN
RENEWED VISION COUNSELING AND DEVELOPMENTAL DISABILITY CENTER PC
Authorized official CHRISTOPHER MARSHALL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/21/2020
Last updated 02/26/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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