Organization
BRAINWAVEBALANCE OF LINCOLN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE CRIPPEN LMHP (LMHP)
(402) 657-0312
Entity
Organization
Contact information
Practice address
5930 S 58TH ST STE O, LINCOLN, NE 68516-3653
(402) 904-4738
Mailing address
5930 S 58TH ST STE O, LINCOLN, NE 68516-3653
(402) 904-4738
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1470
NE
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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