Provider Demographics
NPI:1063205078
Name:DEFINEU THERAPY OMAHA
Entity type:Organization
Organization Name:DEFINEU THERAPY OMAHA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:PLMHP PLADC
Authorized Official - Phone:402-802-7980
Mailing Address - Street 1:12708 S 38TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-2803
Mailing Address - Country:US
Mailing Address - Phone:402-802-7980
Mailing Address - Fax:
Practice Address - Street 1:10846 OLD MILL RD STE 2
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2652
Practice Address - Country:US
Practice Address - Phone:402-802-7980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)