Provider Demographics
NPI:1992529606
Name:HOLDING SPACE
Entity type:Organization
Organization Name:HOLDING SPACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BUESING
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, PLADC
Authorized Official - Phone:402-719-6724
Mailing Address - Street 1:2029 N MAXWELL AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-2948
Mailing Address - Country:US
Mailing Address - Phone:402-719-6724
Mailing Address - Fax:
Practice Address - Street 1:2029 N MAXWELL AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2948
Practice Address - Country:US
Practice Address - Phone:402-719-6724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-09
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health