Provider Demographics
NPI:1154972305
Name:COMMON THREADS THERAPY, LLC
Entity type:Organization
Organization Name:COMMON THREADS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:402-577-0357
Mailing Address - Street 1:6818 GROVER ST STE 301A
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-3618
Mailing Address - Country:US
Mailing Address - Phone:402-577-0357
Mailing Address - Fax:402-625-0499
Practice Address - Street 1:6818 GROVER ST STE 301A
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-3618
Practice Address - Country:US
Practice Address - Phone:402-577-0357
Practice Address - Fax:402-625-0499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-27
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health