Provider Demographics
NPI:1598475451
Name:CHRISTINA BROEKEMEIER LIMHP LLC
Entity Type:Organization
Organization Name:CHRISTINA BROEKEMEIER LIMHP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MENTAL HEALTH PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROEKEMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:402-350-1968
Mailing Address - Street 1:1406 FORT CROOK RD S STE 401
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-2980
Mailing Address - Country:US
Mailing Address - Phone:402-350-1968
Mailing Address - Fax:402-292-0144
Practice Address - Street 1:1406 FORT CROOK RD S STE 401
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2980
Practice Address - Country:US
Practice Address - Phone:402-350-1968
Practice Address - Fax:402-292-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty