Provider Demographics
NPI:1528103710
Name:ARSIAGA, TINA MARIE (LMHP)
Entity type:Individual
Prefix:MS
First Name:TINA
Middle Name:MARIE
Last Name:ARSIAGA
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:MS
Other - First Name:TINA
Other - Middle Name:MARIE
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHP, CPC
Mailing Address - Street 1:6111 ROLLING HILLS BLVD
Mailing Address - Street 2:LINCOLN, NE 68516
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-1854
Mailing Address - Country:US
Mailing Address - Phone:402-310-3816
Mailing Address - Fax:402-438-3204
Practice Address - Street 1:421 S 9TH ST
Practice Address - Street 2:STE 107
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2261
Practice Address - Country:US
Practice Address - Phone:402-310-3816
Practice Address - Fax:402-438-3204
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2975101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health