Provider Demographics
NPI:1346974458
Name:DEL-TORO, CHELSEA (PLMHP, PHT, PSS)
Entity Type:Individual
Prefix:MR
First Name:CHELSEA
Middle Name:
Last Name:DEL-TORO
Suffix:
Gender:M
Credentials:PLMHP, PHT, PSS
Other - Prefix:MR
Other - First Name:CIEL
Other - Middle Name:
Other - Last Name:DEL-TORO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PLMHP, PHT, PSS
Mailing Address - Street 1:200 S 21ST ST STE 400A
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1044
Mailing Address - Country:US
Mailing Address - Phone:833-384-6916
Mailing Address - Fax:
Practice Address - Street 1:1941 S 42ND ST STE 328
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2943
Practice Address - Country:US
Practice Address - Phone:402-614-8444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13028101YM0800X, 101Y00000X, 101YP2500X, 101Y00000X, 101Y00000X
175T00000X
13028101200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No175T00000XOther Service ProvidersPeer Specialist
No101200000XBehavioral Health & Social Service ProvidersDrama Therapist