Souksakhone Phommyvong

NPI 1831068899 · on the registry since 2025

Practice

Address: 319 S 17th St Ste 405
Omaha, NE 68102
Phone: (402) 946-1263
Organisation at this address: Let'S Talk
Xtrakare Llc
Family Foundations
Midwest Comfortable Living Llc
Guidelight Health Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 45

Registry record

Primary taxonomy: Homemaker
376J00000X
Licence states on file: NE
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska