Provider Demographics
NPI:1154874253
Name:WAITY, CHERYL (MS, LIMHP, LIMFT)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:WAITY
Suffix:
Gender:F
Credentials:MS, LIMHP, LIMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 S 9TH ST STE 215
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-2245
Mailing Address - Country:US
Mailing Address - Phone:402-261-6470
Mailing Address - Fax:402-474-0012
Practice Address - Street 1:324 S 9TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2287
Practice Address - Country:US
Practice Address - Phone:402-474-0011
Practice Address - Fax:402-474-0012
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1591101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health