Provider Demographics
NPI:1508318288
Name:KENDRA J. HUBBARD, MS, LMHP
Entity Type:Organization
Organization Name:KENDRA J. HUBBARD, MS, LMHP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:402-937-3565
Mailing Address - Street 1:5539 S 27TH ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-1648
Mailing Address - Country:US
Mailing Address - Phone:402-937-3565
Mailing Address - Fax:402-939-0437
Practice Address - Street 1:5539 S 27TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-1648
Practice Address - Country:US
Practice Address - Phone:402-937-3565
Practice Address - Fax:402-939-0437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1964251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health