Provider Demographics
NPI:1073979514
Name:GOODMAN, EMILY (LIMHP, LMHP, LADC,)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:GOODMAN
Suffix:
Gender:F
Credentials:LIMHP, LMHP, LADC,
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:REINHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14620 CAVALIER ST
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:NE
Mailing Address - Zip Code:68462-1649
Mailing Address - Country:US
Mailing Address - Phone:402-560-4156
Mailing Address - Fax:402-267-4656
Practice Address - Street 1:701 P ST STE 303
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-1356
Practice Address - Country:US
Practice Address - Phone:402-560-4156
Practice Address - Fax:402-267-4656
Is Sole Proprietor?:No
Enumeration Date:2016-01-13
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1948101YM0800X
NE1203101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)