Provider Demographics
NPI:1700977790
Name:BALDWIN-BETTY, DEBRA ANN (LIMHP, PLADC)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:ANN
Last Name:BALDWIN-BETTY
Suffix:
Gender:F
Credentials:LIMHP, PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 SOUTH 70TH STREET
Mailing Address - Street 2:SUITE 225
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-7906
Mailing Address - Country:US
Mailing Address - Phone:402-325-0117
Mailing Address - Fax:402-817-3681
Practice Address - Street 1:1001 SOUTH 70TH STREET
Practice Address - Street 2:SUITE 225
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-7906
Practice Address - Country:US
Practice Address - Phone:402-325-0117
Practice Address - Fax:402-817-3681
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2242101YM0800X
NE781101YM0800X
NEP-1008101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)