Provider Demographics
NPI:1215523477
Name:OMNI SOLUTIONS LLC
Entity type:Organization
Organization Name:OMNI SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARYN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SURDY
Authorized Official - Suffix:
Authorized Official - Credentials:LAMFT
Authorized Official - Phone:507-304-7020
Mailing Address - Street 1:709 S FRONT ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3887
Mailing Address - Country:US
Mailing Address - Phone:507-304-7020
Mailing Address - Fax:507-304-7022
Practice Address - Street 1:709 S FRONT ST STE 2
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3887
Practice Address - Country:US
Practice Address - Phone:507-304-7020
Practice Address - Fax:507-304-7022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty