Provider Demographics
NPI:1871647081
Name:MONZON, TRICIA KAY (LMHP)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:KAY
Last Name:MONZON
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 J ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-2900
Mailing Address - Country:US
Mailing Address - Phone:402-477-8198
Mailing Address - Fax:402-477-8202
Practice Address - Street 1:650 J ST
Practice Address - Street 2:SUITE 401
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2900
Practice Address - Country:US
Practice Address - Phone:402-477-8198
Practice Address - Fax:402-477-8202
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2222101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health