Healthcare Provider Details

I. General information

NPI: 1003586397
Provider Name (Legal Business Name): HANNAH MARIE TEHEE PLMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2021
Last Update Date: 09/17/2021
Certification Date: 09/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8650 LEXINGTON AVE APT 515
LINCOLN NE
68505-3685
US

IV. Provider business mailing address

2633 P ST
LINCOLN NE
68503-3528
US

V. Phone/Fax

Practice location:
  • Phone: 402-617-7400
  • Fax:
Mailing address:
  • Phone: 402-474-4343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12494
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: