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General NPI Number Information
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NPI Number | 1801449053
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Entity Type | Organization
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Legal Business Name | HELEN JOY DOUGHERTY , CMSW, LMHP
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Dates
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Enumeration Date | 07/17/2019
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Last Update Date | 07/17/2019
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Provider Practice Location Address
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Address Line | 1240 N 10TH ST
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City | LINCOLN
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State | NE
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Zip | 68508-1125
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Country | US
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Telephone | 402-601-3386
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Fax |
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Provider Business Mailing Address
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Address Line | 2340 NW 9TH ST
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City | LINCOLN
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State | NE
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Zip | 68521-3521
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Country | US
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Telephone | 402-601-3386
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | HELEN JOY DOUGHERTY
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Credential | CMSW, LMHP
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Telephone | 402-601-3386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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