Provider Demographics
NPI:1790652840
Name:MINDSIGHT BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:MINDSIGHT BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DULCE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CLARENCE
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, LMHC
Authorized Official - Phone:402-613-8375
Mailing Address - Street 1:8750 S 30TH ST APT 247
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6079
Mailing Address - Country:US
Mailing Address - Phone:402-613-8375
Mailing Address - Fax:531-324-2215
Practice Address - Street 1:8750 S 30TH ST APT 247
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6079
Practice Address - Country:US
Practice Address - Phone:402-613-8375
Practice Address - Fax:531-324-2215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-22
Last Update Date:2025-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty