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IMMACULATE HEART OF MARY COUNSELING CENTER NPI 1982618328


NPI Information

NPI: 1982618328
Provider Name: IMMACULATE HEART OF MARY COUNSELING CENTER

Doing Business As: IMMACULATE HEART OF MARY COUNSELING CENTER

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3700 SHERIDAN BLVD
STE 1
LINCOLN, NE
ZIP 68506
Phone: (402) 489-1834
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IMMACULATE HEART OF MARY COUNSELING CENTER is a mental health counselor in Lincoln, NE. IMMACULATE HEART OF MARY COUNSELING CENTER NPI is 1982618328. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Immaculate Heart Of Mary Counseling Center.

The provider's business location address is:

3700 SHERIDAN BLVD
STE 1
LINCOLN, NE
ZIP 68506-100
Phone: (402) 489-1834
Fax: (402) 489-2046

The provider's authorized official is Courtney K Miller .
The authorized official title is Director Of Clinical Services and has the following contact phone number (402) 489-1834.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 7/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110026870000MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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