Provider Demographics
NPI:1285098905
Name:REINEKE, MEGAN (PLMHP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:REINEKE
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7474 LAKEVIEW COURT
Mailing Address - Street 2:#205
Mailing Address - City:RALSTON
Mailing Address - State:NE
Mailing Address - Zip Code:68127
Mailing Address - Country:US
Mailing Address - Phone:402-890-3624
Mailing Address - Fax:
Practice Address - Street 1:965 PATRICA DR.
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046
Practice Address - Country:US
Practice Address - Phone:402-932-7788
Practice Address - Fax:402-933-7464
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10495101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health