Organization · NPI-2

Holding Space

Clinic/Center, Adolescent and Children Mental Health · Fremont, NE

NPI number1992529606
StatusActive
Last updated in NPPESNov 9, 2024

Details

NPI
1992529606
Entity type
Organization (NPI-2)
Legal business name
Holding Space
Organization subpart
No
Enumeration date
Nov 9, 2024
Certification date
Nov 9, 2024
Last updated
Nov 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0855X Clinic/Center, Adolescent and Children Mental Health––Yes
261QM0850X Clinic/Center, Adult Mental Health––

Practice location

2029 N Maxwell Ave
Fremont, NE 68025-2948

Phone 402-719-6724

Mailing address

2029 N Maxwell Ave
Fremont, NE 68025-2948

Phone 402-719-6724

Authorized official

Brianna Sue Buesing
Mental Health Therapist
4027196724

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