Healthcare Provider Details

I. General information

NPI: 1881605079
Provider Name (Legal Business Name): MARIA P. GOEDE LIMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 06/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 E WALNUT ST
WEST POINT NE
68788-1424
US

IV. Provider business mailing address

130 E WALNUT ST
WEST POINT NE
68788-1424
US

V. Phone/Fax

Practice location:
  • Phone: 402-841-7546
  • Fax: 402-939-0159
Mailing address:
  • Phone: 402-841-7546
  • Fax: 402-939-0159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1356
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number789
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: