Provider Demographics
NPI:1578613238
Name:CULLY, ALMA JEAN (MS, CPC, LMHP, LIMHP)
Entity Type:Individual
Prefix:MS
First Name:ALMA
Middle Name:JEAN
Last Name:CULLY
Suffix:
Gender:F
Credentials:MS, CPC, LMHP, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 S 133RD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-1227
Mailing Address - Country:US
Mailing Address - Phone:402-212-7050
Mailing Address - Fax:
Practice Address - Street 1:11920 BURT ST STE 165
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-1598
Practice Address - Country:US
Practice Address - Phone:402-431-4080
Practice Address - Fax:402-951-2747
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE73101Y00000X
NE346101Y00000X
NE622101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor