Provider Demographics
NPI:1932643269
Name:COLLEEN M LECHER
Entity Type:Organization
Organization Name:COLLEEN M LECHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SELF
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LECHER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP
Authorized Official - Phone:402-465-8717
Mailing Address - Street 1:1919 S 40TH ST STE 212
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5248
Mailing Address - Country:US
Mailing Address - Phone:402-465-8717
Mailing Address - Fax:402-465-8717
Practice Address - Street 1:1919 S 40TH ST STE 212
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5248
Practice Address - Country:US
Practice Address - Phone:402-465-8717
Practice Address - Fax:402-465-8717
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLLEEN M LECHER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2112101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026394500Medicaid