Healthcare Provider Details

I. General information

NPI: 1952766313
Provider Name (Legal Business Name): RACHEL A DENNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2015
Last Update Date: 07/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 L ST STE C
LINCOLN NE
68508
US

IV. Provider business mailing address

1640 L ST STE C
LINCOLN NE
68508-2581
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-9792
  • Fax:
Mailing address:
  • Phone: 402-730-6802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11557
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: