Provider Demographics
NPI:1609217983
Name:HARDER, SHELLEY (MSCC, LIMHP, NCC)
Entity Type:Individual
Prefix:
First Name:SHELLEY
Middle Name:
Last Name:HARDER
Suffix:
Gender:F
Credentials:MSCC, LIMHP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 FLETCHER AVE APT 163
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-1032
Mailing Address - Country:US
Mailing Address - Phone:402-223-9019
Mailing Address - Fax:
Practice Address - Street 1:7100 S 29TH ST STE B
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6056
Practice Address - Country:US
Practice Address - Phone:402-476-0104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10012101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health