Healthcare Provider Details

I. General information

NPI: 1306950522
Provider Name (Legal Business Name): KATHRYN HOVE LMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 02/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S 24TH ST SUITE 100
OMAHA NE
68102-1202
US

IV. Provider business mailing address

120 S 24TH ST SUITE 100
OMAHA NE
68102-1202
US

V. Phone/Fax

Practice location:
  • Phone: 402-342-7007
  • Fax:
Mailing address:
  • Phone: 402-342-7007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1757
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1757
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: