Provider Demographics
NPI:1225232515
Name:NELUM, BETTY JANE (LMHP LADC)
Entity Type:Individual
Prefix:MS
First Name:BETTY
Middle Name:JANE
Last Name:NELUM
Suffix:
Gender:F
Credentials:LMHP LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 RUGGLES STREET
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-2729
Mailing Address - Country:US
Mailing Address - Phone:402-680-8295
Mailing Address - Fax:
Practice Address - Street 1:6663 SORENSEN PARKWAY
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68152-2139
Practice Address - Country:US
Practice Address - Phone:402-680-8295
Practice Address - Fax:402-453-6768
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NELADC223101YA0400X
NE981101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health