Provider Demographics
NPI:1346390978
Name:SYKES, TRICIA (LMHP, LCPC)
Entity Type:Individual
Prefix:MS
First Name:TRICIA
Middle Name:
Last Name:SYKES
Suffix:
Gender:F
Credentials:LMHP, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 S 15TH ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4803
Mailing Address - Country:US
Mailing Address - Phone:402-617-6929
Mailing Address - Fax:
Practice Address - Street 1:650 J ST
Practice Address - Street 2:SUITE 401
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2900
Practice Address - Country:US
Practice Address - Phone:402-617-6929
Practice Address - Fax:402-477-8202
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3121101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025331000Medicaid