Provider Demographics
NPI:1619016193
Name:RECKLING, TEDDI A (LIMHP)
Entity Type:Individual
Prefix:
First Name:TEDDI
Middle Name:A
Last Name:RECKLING
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 W MILLSTONE RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-1168
Mailing Address - Country:US
Mailing Address - Phone:402-435-5873
Mailing Address - Fax:402-435-5873
Practice Address - Street 1:2211 W MILLSTONE RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-1168
Practice Address - Country:US
Practice Address - Phone:402-435-5873
Practice Address - Fax:402-435-5873
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE609101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health