Provider Demographics
NPI:1780024133
Name:HEREK, MEGHAN RENEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:RENEE
Last Name:HEREK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11422 MIRACLE HILLS DR
Mailing Address - Street 2:STE 401
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-4420
Mailing Address - Country:US
Mailing Address - Phone:402-898-1113
Mailing Address - Fax:
Practice Address - Street 1:11422 MIRACLE HILLS DR
Practice Address - Street 2:STE 401
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-4420
Practice Address - Country:US
Practice Address - Phone:402-898-1113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-30
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1607101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health