Provider Demographics
NPI:1982565826
Name:TENACIOUS REBIRTH LLC
Entity type:Organization
Organization Name:TENACIOUS REBIRTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LIMHP, LMHP
Authorized Official - Phone:402-880-8936
Mailing Address - Street 1:11809 MARY ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-6835
Mailing Address - Country:US
Mailing Address - Phone:402-880-8936
Mailing Address - Fax:402-880-8936
Practice Address - Street 1:11809 MARY ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-6835
Practice Address - Country:US
Practice Address - Phone:402-880-8936
Practice Address - Fax:402-880-8936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty