Provider Demographics
NPI:1356352314
Name:LANGAN DEE, TERI ANN (MA, LMHP, CPC)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:ANN
Last Name:LANGAN DEE
Suffix:
Gender:F
Credentials:MA, LMHP, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 S 40TH ST STE 211
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5212
Mailing Address - Country:US
Mailing Address - Phone:402-489-7827
Mailing Address - Fax:402-489-7828
Practice Address - Street 1:1919 S 40TH ST STE 211
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5212
Practice Address - Country:US
Practice Address - Phone:402-489-7827
Practice Address - Fax:402-489-7828
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2726101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025159000Medicaid