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General NPI Number Information
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NPI Number | 1225167539
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Entity Type | Organization
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Legal Business Name | PECK PSYCHOTHERAPY & RESOURCE CENTER
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Dates
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Enumeration Date | 03/04/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 610 J ST SUITE 30
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City | LINCOLN
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State | NE
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Zip | 68508-2967
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Country | US
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Telephone | 402-438-3037
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Fax | 800-780-8312
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Provider Business Mailing Address
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Address Line | 610 J ST SUITE 30
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City | LINCOLN
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State | NE
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Zip | 68508-2967
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Country | US
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Telephone | 402-438-3037
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Fax | 800-780-8312
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LINDA L PECK
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Credential | LMHP
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Telephone | 402-438-3037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | P-307
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1068
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 686
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License Number State | NE
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