Provider Demographics
NPI:1649864091
Name:DOWDING, RICHELLE RAYE (PLMHP)
Entity type:Individual
Prefix:
First Name:RICHELLE
Middle Name:RAYE
Last Name:DOWDING
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4344 N 62ND ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68507-1215
Mailing Address - Country:US
Mailing Address - Phone:402-730-2021
Mailing Address - Fax:
Practice Address - Street 1:4344 N 62ND ST STE 1
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68507-1215
Practice Address - Country:US
Practice Address - Phone:402-730-2021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11351101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health