Healthcare Provider Details

I. General information

NPI: 1285953729
Provider Name (Legal Business Name): ASSOCIATES IN COUNSELING & TREATMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2010
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 P ST
LINCOLN NE
68505-2331
US

IV. Provider business mailing address

5600 P ST
LINCOLN NE
68505-2331
US

V. Phone/Fax

Practice location:
  • Phone: 402-261-6667
  • Fax: 402-261-6526
Mailing address:
  • Phone: 402-261-6667
  • Fax: 402-261-6526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number796
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number848
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number775
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3183
License Number StateNE
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number116
License Number StateNE

VIII. Authorized Official

Name: MEGAN LEIKAM
Title or Position: COUNSELOR, DIRECTOR, OWNER
Credential: BA, LADC, CDGC
Phone: 402-261-6667