Provider Demographics
NPI:1730840778
Name:TOGETHER CLINIC LLC
Entity type:Organization
Organization Name:TOGETHER CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DAUGHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:800-618-6990
Mailing Address - Street 1:PO BOX 6832
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-0832
Mailing Address - Country:US
Mailing Address - Phone:800-619-6990
Mailing Address - Fax:
Practice Address - Street 1:7636 S 78TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4023
Practice Address - Country:US
Practice Address - Phone:816-666-4201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management