Provider Demographics
NPI:1063629467
Name:FELTES, WILLIAM (LMHP)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:FELTES
Suffix:
Gender:M
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7836 WAKELEY PLZ
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3650
Mailing Address - Country:US
Mailing Address - Phone:402-397-0330
Mailing Address - Fax:402-397-8082
Practice Address - Street 1:7836 WAKELEY PLZ
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3650
Practice Address - Country:US
Practice Address - Phone:402-397-0330
Practice Address - Fax:402-397-8082
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1169101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE12063OtherMIDLANDS CHOICE