Provider Demographics
NPI:1265244883
Name:TOMA, DOHA (PMHP PMSW CDP)
Entity type:Individual
Prefix:
First Name:DOHA
Middle Name:
Last Name:TOMA
Suffix:
Gender:F
Credentials:PMHP PMSW CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S 21ST ST STE 400A
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1044
Mailing Address - Country:US
Mailing Address - Phone:402-904-0853
Mailing Address - Fax:
Practice Address - Street 1:200 S 21ST ST STE 400A
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1044
Practice Address - Country:US
Practice Address - Phone:402-904-0853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14258101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health