Healthcare Provider Details

I. General information

NPI: 1316460231
Provider Name (Legal Business Name): TAMMY ERICKSON COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2017
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 N WEBB RD STE 307
GRAND ISLAND NE
68803-1751
US

IV. Provider business mailing address

649 HIGHWAY 92
PALMER NE
68864-1121
US

V. Phone/Fax

Practice location:
  • Phone: 308-383-7950
  • Fax: 308-795-2247
Mailing address:
  • Phone: 308-383-7950
  • Fax: 308-795-8847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1363
License Number StateNE

VIII. Authorized Official

Name: TOMEKA C JOHNSON
Title or Position: CREDENTIALING/BILLING MANG.
Credential: MBRS
Phone: 402-885-7672