Provider Demographics
NPI:1750653739
Name:WELCHENS COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:WELCHENS COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHITE-WELCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP, LPC, NCC
Authorized Official - Phone:402-598-4961
Mailing Address - Street 1:7330 FARNAM ST
Mailing Address - Street 2:100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4673
Mailing Address - Country:US
Mailing Address - Phone:402-598-4961
Mailing Address - Fax:
Practice Address - Street 1:7330 FARNAM ST
Practice Address - Street 2:100
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4673
Practice Address - Country:US
Practice Address - Phone:402-598-4961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE101YM0800X101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE50613347726Medicaid