Healthcare Provider Details

I. General information

NPI: 1346390978
Provider Name (Legal Business Name): TRICIA SYKES LMHP, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 J ST SUITE 401
LINCOLN NE
68508-2900
US

IV. Provider business mailing address

213 S 15TH ST
NORFOLK NE
68701-4803
US

V. Phone/Fax

Practice location:
  • Phone: 402-617-6929
  • Fax: 402-477-8202
Mailing address:
  • Phone: 402-617-6929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3121
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: