Provider Demographics
NPI:1972011633
Name:BLUE RIVER COUNSELING
Entity Type:Organization
Organization Name:BLUE RIVER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:R
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:402-853-1086
Mailing Address - Street 1:5450 UNION HILL RD APT 802
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6523
Mailing Address - Country:US
Mailing Address - Phone:402-430-4244
Mailing Address - Fax:
Practice Address - Street 1:5561 S 48TH ST STE 215C
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4139
Practice Address - Country:US
Practice Address - Phone:402-853-1086
Practice Address - Fax:531-500-4573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-16
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)