Provider Demographics
NPI:1558246744
Name:HUGGY BEAR THERAPEUTICS PC
Entity type:Organization
Organization Name:HUGGY BEAR THERAPEUTICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:MARSHALL
Authorized Official - Last Name:HUG
Authorized Official - Suffix:JR
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:402-807-9529
Mailing Address - Street 1:1124 PACIFIC ST. PMB 104
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68108-9630
Mailing Address - Country:US
Mailing Address - Phone:402-807-9529
Mailing Address - Fax:
Practice Address - Street 1:2821 S 108TH ST STE A
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4802
Practice Address - Country:US
Practice Address - Phone:402-807-9529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty