Provider Demographics
NPI:1093967564
Name:REBECCA STEFANSKI
Entity Type:Organization
Organization Name:REBECCA STEFANSKI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:STEFANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, LMHP, CMFT
Authorized Official - Phone:402-310-9526
Mailing Address - Street 1:7120 S 29TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5802
Mailing Address - Country:US
Mailing Address - Phone:402-310-9526
Mailing Address - Fax:402-261-5405
Practice Address - Street 1:7120 S 29TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5802
Practice Address - Country:US
Practice Address - Phone:402-310-9526
Practice Address - Fax:402-261-5405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE805302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025784800Medicaid
NE600700309OtherMIS/MAGELLAN