Provider Demographics
NPI:1164752689
Name:ESSEL, TERRI (PLMHP)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:
Last Name:ESSEL
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3816 CYPRESS CT
Mailing Address - Street 2:
Mailing Address - City:PLATTSMOUTH
Mailing Address - State:NE
Mailing Address - Zip Code:68048-7127
Mailing Address - Country:US
Mailing Address - Phone:402-296-5508
Mailing Address - Fax:
Practice Address - Street 1:3816 CYPRESS CT
Practice Address - Street 2:
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048-7127
Practice Address - Country:US
Practice Address - Phone:402-296-5508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8713101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health