Provider Demographics
NPI:1295395697
Name:NIESS, EMILY ERIN (MS, LMHP, CPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ERIN
Last Name:NIESS
Suffix:
Gender:F
Credentials:MS, LMHP, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19701 LACI ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68135-4265
Mailing Address - Country:US
Mailing Address - Phone:402-490-4883
Mailing Address - Fax:
Practice Address - Street 1:19701 LACI ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68135-4265
Practice Address - Country:US
Practice Address - Phone:402-490-4883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11897101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health