Individual
MS. BRENDA KAYE MERIDETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, MSW
Contact information
Practice address
2301 O ST, STE 2, LINCOLN, NE 68510-1124
(402) 441-6642
(402) 476-1670
Mailing address
1021 N 27TH ST, LINCOLN, NE 68503-1803
(402) 476-1455
(402) 476-1670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-600
NE
101YM0800X
Mental Health Counselor
Primary
2939
NE
104100000X
Social Worker
1176
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1176
MSW
NE
01
—
2939
LMHP
NE
01
—
P-600
PLADC
NE
Enumeration date
07/12/2007
Last updated
10/25/2016
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