Healthcare Provider Details

I. General information

NPI: 1952457400
Provider Name (Legal Business Name): TERESA LYNN VANG-FREELING LICSW, LIMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 06/07/2025
Certification Date: 06/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 M ST
GERING NE
69341-2835
US

IV. Provider business mailing address

2290 SHADOW RIDGE DR
GERING NE
69341-1596
US

V. Phone/Fax

Practice location:
  • Phone: 308-385-8674
  • Fax:
Mailing address:
  • Phone: 308-385-8674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number832
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3010
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1193
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: