Healthcare Provider Details

I. General information

NPI: 1770474454
Provider Name (Legal Business Name): HESHAM MAHDI HLEHEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4433 F ST APT 207
LINCOLN NE
68510-3755
US

IV. Provider business mailing address

1615 SW 10TH ST
LINCOLN NE
68522-1669
US

V. Phone/Fax

Practice location:
  • Phone: 402-601-1871
  • Fax:
Mailing address:
  • Phone: 402-601-1871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: