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Organization
TIA NORDYKE, MA, LIMHP
Active
Organization
TIA NORDYKE, MA, LIMHP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIA MARIE NORDYKE KING M.A. (LIMHP)
(402) 309-3892
Entity
Organization
Contact information
Practice address
5630 S 84TH ST STE 104, LINCOLN, NE 68516-4470
(402) 309-3892
Mailing address
5630 S 84TH ST STE 104, LINCOLN, NE 68516-4470
(402) 309-3892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1499
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025867800
—
NE
01
—
233141
MIDLANDS CHOICE
NE
01
—
48027
BCBS OF NEBRASKA
NE
Enumeration date
12/13/2016
Last updated
12/13/2016
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