Provider Demographics
NPI:1073915112
Name:FICHTEL, ELIZABETH ANNE (PLMHP)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANNE
Last Name:FICHTEL
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8610 BRENTWOOD DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-3377
Mailing Address - Country:US
Mailing Address - Phone:402-331-3232
Mailing Address - Fax:402-331-1557
Practice Address - Street 1:8610 BRENTWOOD DR
Practice Address - Street 2:SUITE 1
Practice Address - City:LA VISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-3377
Practice Address - Country:US
Practice Address - Phone:402-331-3232
Practice Address - Fax:402-331-1557
Is Sole Proprietor?:No
Enumeration Date:2014-09-19
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)