Tiffany D. Koenen, Lcsw, P.C.
Community/Behavioral Health in Omaha, NE. Organization (NPI-2).
NPI number1760680409
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1760680409
- Entity type
- Organization (NPI-2)
- Legal business name
- Tiffany D. Koenen, Lcsw, P.C.
- Organization subpart
- No
- Enumeration date
- Jul 3, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 1028 | NE | Yes |
Practice location
8021 Chicago StOmaha, NE 68114-3533
Phone 402-502-1024 · Fax 402-502-1555
Mailing address
8021 Chicago StOmaha, NE 68114-3533
Phone 402-502-1024 · Fax 402-502-1555
Authorized official
Tiffany Dawn Koenen
President
4025021024
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