Provider Demographics
NPI:1639218167
Name:ALMQUIST, KEITH (LMHP, LIMHP, LADC)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:
Last Name:ALMQUIST
Suffix:
Gender:M
Credentials:LMHP, LIMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8031 W CENTER RD STE 324
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-3149
Mailing Address - Country:US
Mailing Address - Phone:402-669-3665
Mailing Address - Fax:402-502-5102
Practice Address - Street 1:8031 W CENTER RD STE 324
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3149
Practice Address - Country:US
Practice Address - Phone:402-669-3665
Practice Address - Fax:402-502-5102
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2391101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty