Basic Information
| Provider Information | |||||||||
| NPI: | 1184193229 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SOENER | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | |||||||||
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| NameSuffix: | |||||||||
| Credential: | LIMHP | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | SOENER | ||||||||
| OtherFirstName: | EMILY | ||||||||
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| OtherCredential: | LIMHP | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 4920 S 30TH ST | ||||||||
| Address2: | STE 103 | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681071656 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4027344110 | ||||||||
| FaxNumber: | 4027343990 | ||||||||
| Practice Location | |||||||||
| Address1: | 1941 S 42ND ST STE 328 | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681052943 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4026148444 | ||||||||
| FaxNumber: | 4026148443 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/19/2018 | ||||||||
| LastUpdateDate: | 10/01/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 1895 | NE | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.