Provider Demographics
NPI:1891834917
Name:HOPESPOKE
Entity Type:Organization
Organization Name:HOPESPOKE
Other - Org Name:CHILD GUIDANCE CENTER EDT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEESE STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-475-7666
Mailing Address - Street 1:2444 O STREET
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510
Mailing Address - Country:US
Mailing Address - Phone:402-475-7666
Mailing Address - Fax:402-476-9623
Practice Address - Street 1:2444 O STREET
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510
Practice Address - Country:US
Practice Address - Phone:402-475-7666
Practice Address - Fax:402-476-9623
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPESPOKE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-05
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026053300Medicaid
=========OtherALL INSURANCE
NE=========26Medicaid