Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Renewed Vision Counseling and Developmental Disability Center PC

Organization Mental Health Counselor · NPI 1174122170

Renewed Vision Counseling and Developmental Disability Center PC is a Mental Health Counselor in Omaha, Nebraska. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4610 S 133rd St Ste 106
Omaha, NE 68137-1133
Phone: (402) 275-6413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1174122170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Marshall — Owner · (531) 876-7455
NPI enumeratedOctober 21, 2020
Last updated in NPPESFebruary 26, 2025
Certification dateJuly 2, 2021
Mailing address4642 S. 132nd St, Omaha, NE 68137-1764

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