Provider Demographics
NPI:1982133815
Name:NOFIA COUNSELING
Entity Type:Organization
Organization Name:NOFIA COUNSELING
Other - Org Name:NOFIA COUNSELING
Other - Org Type:Other Name
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YEVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUKIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP
Authorized Official - Phone:402-707-5863
Mailing Address - Street 1:6143 N 100TH PLZ
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-1417
Mailing Address - Country:US
Mailing Address - Phone:402-707-5863
Mailing Address - Fax:
Practice Address - Street 1:6143 N 100TH PLZ
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-1417
Practice Address - Country:US
Practice Address - Phone:402-707-5863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10499261QM0801X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)