Healthcare Provider Details

I. General information

NPI: 1336214378
Provider Name (Legal Business Name): LUKIS COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10018 S 180TH AVENUE CIR
OMAHA NE
68136-6472
US

IV. Provider business mailing address

10018 S 180TH AVENUE CIR
OMAHA NE
68136-6472
US

V. Phone/Fax

Practice location:
  • Phone: 402-659-6507
  • Fax: 402-322-7331
Mailing address:
  • Phone: 402-659-6507
  • Fax: 402-322-7331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRENDA JEAN HANSEN
Title or Position: THERAPIST
Credential: LIMHP
Phone: 402-659-6507