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NPI Code Detail

MEDICARE: TIKISHA CUEVAS PLMHP, PLADC

MEDICARE:   TIKISHA  CUEVAS  PLMHP, PLADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) CounselorP-2051NE
3101YM0800XMental Health Counselor14703NE

General Provider Information

NPI Number : 1033702592
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIKISHA CUEVAS PLMHP, PLADC
Provider Business Mailing Address
First Line : 1800 W PASEWALK AVE STE A
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5657
Country : US
Telephone Number : 402-500-6870
Fax Number :
Provider Business Practice Location Address
First Line : 1800 W PASEWALK AVE STE A
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5657
Country : US
Telephone Number : 402-500-6870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2021
Last Update Date : 12/09/2025

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Directions to “ TIKISHA CUEVAS PLMHP, PLADC” Practice Location

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