Healthcare Provider Details

I. General information

NPI: 1710005285
Provider Name (Legal Business Name): FRANCISCA PETERSON LIMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 10/04/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 SOUTH 86TH ST. SUITE 102
LINCOLN NE
68526-9253
US

IV. Provider business mailing address

4444 SOUTH 86TH ST. SUITE 102
LINCOLN NE
68526-9253
US

V. Phone/Fax

Practice location:
  • Phone: 402-476-7557
  • Fax: 402-476-9912
Mailing address:
  • Phone: 402-476-7557
  • Fax: 402-476-9912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6166
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: