Provider Demographics
NPI:1114153962
Name:FISHER-EDENS & KLEIN LLC
Entity type:Organization
Organization Name:FISHER-EDENS & KLEIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER-EDENS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP, LPC
Authorized Official - Phone:308-632-4200
Mailing Address - Street 1:2027 10TH ST
Mailing Address - Street 2:
Mailing Address - City:GERING
Mailing Address - State:NE
Mailing Address - Zip Code:69341-2417
Mailing Address - Country:US
Mailing Address - Phone:308-632-4200
Mailing Address - Fax:308-632-4205
Practice Address - Street 1:2027 10TH ST
Practice Address - Street 2:
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341-2417
Practice Address - Country:US
Practice Address - Phone:308-632-4200
Practice Address - Fax:308-632-4205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3209101YM0800X
NE1541101YP2500X
NE2977101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty