Provider Demographics
NPI:1417290933
Name:DAWE, ARICA (LMHP, CPC)
Entity Type:Individual
Prefix:
First Name:ARICA
Middle Name:
Last Name:DAWE
Suffix:
Gender:F
Credentials:LMHP, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:170 OAK ST
Mailing Address - City:BEE
Mailing Address - State:NE
Mailing Address - Zip Code:68314-0116
Mailing Address - Country:US
Mailing Address - Phone:402-641-8393
Mailing Address - Fax:
Practice Address - Street 1:2433 PROGRESSIVE RD
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-7644
Practice Address - Country:US
Practice Address - Phone:402-641-8393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4628101YM0800X
NE2244101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100263509-00Medicaid