Provider Demographics
NPI:1205464542
Name:ENLIGHTENED COUNSELING & HEALING LLC
Entity type:Organization
Organization Name:ENLIGHTENED COUNSELING & HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:WEATHERHOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-235-9686
Mailing Address - Street 1:5824 S 142ND ST STE B
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-2872
Mailing Address - Country:US
Mailing Address - Phone:402-235-9686
Mailing Address - Fax:
Practice Address - Street 1:5824 S 142ND ST STE B
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2872
Practice Address - Country:US
Practice Address - Phone:402-235-9686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health