Alivation Health, LLC
Psychiatry & Neurology, Psychiatry in Lincoln, NE. Organization (NPI-2).
NPI number1710917448
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1710917448
- Entity type
- Organization (NPI-2)
- Legal business name
- Alivation Health, LLC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Other names
- Premier Psychiatric Group, LLC (Former Legal Business Name)
Practice location
8550 Cuthills CircleLincoln, NE 68526-9467
Phone 402-476-6060 · Fax 402-476-6809
Mailing address
8550 Cuthills CircleLincoln, NE 68526-9467
Phone 402-476-6060 · Fax 402-476-6809
Authorized official
Walter J. Duffy
Owner/Ceo
4024766060
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