Provider Demographics
NPI:1124858832
Name:CARDENAS, ANA (PLMHP)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:CARDENAS
Suffix:
Gender:
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 S 42ND ST STE 541
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-2986
Mailing Address - Country:US
Mailing Address - Phone:402-934-4618
Mailing Address - Fax:
Practice Address - Street 1:1941 S 42ND ST STE 541
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2986
Practice Address - Country:US
Practice Address - Phone:402-934-4618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2025-03-14
Deactivation Date:2025-02-27
Deactivation Code:
Reactivation Date:2025-03-14
Provider Licenses
StateLicense IDTaxonomies
NE13993101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health