Provider Demographics
NPI:1407234594
Name:LINCOLN PSYCHOTHERAPY SERVICES
Entity Type:Organization
Organization Name:LINCOLN PSYCHOTHERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOSEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-432-6144
Mailing Address - Street 1:2900 S 70TH ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-3733
Mailing Address - Country:US
Mailing Address - Phone:402-432-6144
Mailing Address - Fax:402-477-8284
Practice Address - Street 1:2900 S 70TH ST
Practice Address - Street 2:SUITE 160
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-3733
Practice Address - Country:US
Practice Address - Phone:402-432-6144
Practice Address - Fax:402-477-8284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)