Provider Demographics
NPI:1699953802
Name:WIDNER, HEIDI LYNNE (PLMHP)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:LYNNE
Last Name:WIDNER
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 1:8650 PIONEERS BLVD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68520
Mailing Address - Country:US
Mailing Address - Phone:402-483-5117
Mailing Address - Fax:402-483-5154
Practice Address - Street 1:8650 PIONEERS BLVD
Practice Address - Street 2:SAMARITAN COUNSELING CENTER
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68520
Practice Address - Country:US
Practice Address - Phone:402-483-5117
Practice Address - Fax:402-483-5154
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEPLMHP8544106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist