MEDICARE: MS. TAUNI WADDINGTON LIMHP/1055,LADC/288,

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
1	101Y00000X	Counselor	1685	NE
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	288	NE
3	101YM0800X	Mental Health Counselor	1055	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154494300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAUNI WADDINGTON LIMHP/1055,LADC/288,

Provider Business Mailing Address
First Line	:	4344 N 62ND ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68507-1227
Country	:	US
Telephone Number	:	402-580-2692
Fax Number	:

Provider Business Practice Location Address
First Line	:	4344 N 62ND ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68507-1227
Country	:	US
Telephone Number	:	402-580-2692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	02/23/2024

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