# MINUTECLINIC DIAGNOSTIC OF NEBRASKA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326894254
- **Authorized official:** DEBORAH PINCINCE (ADMINISTRATOR)
- **Authorized official phone:** (401) 770-3813

## Contact information

- **Practice address:** 5566 S 56TH ST, LINCOLN, NE 68516-1834
- **Practice address phone:** (855) 417-2486
- **Mailing address:** 1 CVS DR \# MC2295, WOONSOCKET, RI 02895-6146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 04/30/2024
- **Last updated:** 04/30/2024