Provider Demographics
NPI:1467591867
Name:WADUM LECHNER, MICHELLE DIANNE (LMHP PLA DC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:DIANNE
Last Name:WADUM LECHNER
Suffix:
Gender:F
Credentials:LMHP PLA DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 DODGE ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2642
Mailing Address - Country:US
Mailing Address - Phone:402-342-4135
Mailing Address - Fax:402-341-7099
Practice Address - Street 1:2551 DODGE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2642
Practice Address - Country:US
Practice Address - Phone:402-342-4135
Practice Address - Fax:402-341-7099
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE672101YA0400X
NE1217101YP2500X
NEP508101YA0400X
NE2154101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47037661200Medicaid
NE85129OtherBCBS