Healthcare Provider Details

I. General information

NPI: 1285713230
Provider Name (Legal Business Name): DEBRA ENGLAND LMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2608 OLD FAIR RD
GRAND ISLAND NE
68803-5271
US

IV. Provider business mailing address

525 S 9TH AVE
BROKEN BOW NE
68822-2457
US

V. Phone/Fax

Practice location:
  • Phone: 308-382-5297
  • Fax: 308-382-5315
Mailing address:
  • Phone: 308-872-5040
  • Fax: 308-872-5060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2866
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: