Healthcare Provider Details

I. General information

NPI: 1669636510
Provider Name (Legal Business Name): TIMINA L COFFIEL BS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5858 WENNINGHOFF RD STE 2
OMAHA NE
68134-1911
US

IV. Provider business mailing address

5858 WENNINGHOFF RD STE 2
OMAHA NE
68134-1911
US

V. Phone/Fax

Practice location:
  • Phone: 402-224-6249
  • Fax: 402-206-2759
Mailing address:
  • Phone: 402-224-6249
  • Fax: 402-206-2759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14650
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: