Spark Behavioral Health

Specialty details in registry · Omaha, NE

Call (402) 960-1044 Directions

At a glance

2974 S 84Th St, Omaha, NE 68124-3213

NPPES record updated Jan 20, 2021. Public records can lag behind changes at a practice.

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Practice location

2974 S 84Th St
Omaha, NE 68124-3213

Professional details: NPI, taxonomy & registry record

NPI1942890389

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 103K00000X
Enumeration date: Jan 20, 2021
Record updated: Jan 20, 2021

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103K00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2974 S 84Th St
Omaha, NE 68124-3213

Phone: (402) 960-1044

Mailing address

19204 BOYD CIR

ELKHORN, NE 680225500

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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