# MINDI BERNICE COUNSELING LLC

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

## Provider details

- **NPI number:** 1619711561
- **Authorized official:** MINDI BERNICE WIKSTROM PLMHP (THERAPIST/CEO)
- **Authorized official phone:** (712) 899-8876

## Contact information

- **Practice address:** 1941 S 42ND ST STE 542, OMAHA, NE 68105-2945
- **Practice address phone:** (402) 401-4485
- **Mailing address:** 100 S 19TH ST APT 1120, OMAHA, NE 68102-1384
- **Mailing address phone:** (712) 899-8876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2024
- **Last updated:** 09/03/2024