Fireside Therapy Collective
Counselor, Mental Health in Elkhorn, NE. Organization (NPI-2).
NPI number1740104249
StatusActive
Last updated in NPPESAug 6, 2026
Details
- NPI
- 1740104249
- Entity type
- Organization (NPI-2)
- Legal business name
- Fireside Therapy Collective
- Organization subpart
- No
- Enumeration date
- Aug 6, 2026
- Certification date
- Aug 6, 2026
- Last updated
- Aug 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1017 S 192nd St Ste 1014Elkhorn, NE 68022-3381
Phone 402-850-4755
Mailing address
1017 S 192nd St Ste 1014Elkhorn, NE 68022-3381
Phone 402-850-4755
Authorized official
Stacey Aniello
Owner
4028504755
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