Provider Demographics
NPI:1336214378
Name:LUKIS COUNSELING INC
Entity Type:Organization
Organization Name:LUKIS COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LUKIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMHP
Authorized Official - Phone:402-659-6507
Mailing Address - Street 1:11252 S 200TH ST
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:NE
Mailing Address - Zip Code:68028-4541
Mailing Address - Country:US
Mailing Address - Phone:402-659-6507
Mailing Address - Fax:402-916-9654
Practice Address - Street 1:11252 S 200TH ST
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-4541
Practice Address - Country:US
Practice Address - Phone:402-659-6507
Practice Address - Fax:402-916-9654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025070700Medicaid