Healthcare Provider Details

I. General information

NPI: 1093648008
Provider Name (Legal Business Name): WENYUE WANG PLMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: THERESE WANG

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 N 14TH ST
LINCOLN NE
68521-2134
US

IV. Provider business mailing address

1248 O ST STE 400
LINCOLN NE
68508-1448
US

V. Phone/Fax

Practice location:
  • Phone: 402-476-1455
  • Fax: 402-476-1670
Mailing address:
  • Phone: 402-476-1455
  • Fax: 402-476-1670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14972
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: