Provider Demographics
NPI:1275180382
Name:FIREFLY COUNSELING
Entity Type:Organization
Organization Name:FIREFLY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BLANKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PCSW, PLIMHP
Authorized Official - Phone:402-770-5327
Mailing Address - Street 1:770 N COTNER BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2377
Mailing Address - Country:US
Mailing Address - Phone:402-417-6909
Mailing Address - Fax:844-848-7537
Practice Address - Street 1:770 N COTNER BLVD STE 330
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2377
Practice Address - Country:US
Practice Address - Phone:402-417-6909
Practice Address - Fax:844-848-7537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty