Provider Demographics
NPI:1841475928
Name:HOUSTON, PEGGY A (LMHP)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:A
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 641130
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-7130
Mailing Address - Country:US
Mailing Address - Phone:402-827-4300
Mailing Address - Fax:402-827-4303
Practice Address - Street 1:1414 S WASHINGTON ST
Practice Address - Street 2:SUITE 202
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-4163
Practice Address - Country:US
Practice Address - Phone:402-827-4300
Practice Address - Fax:402-827-4303
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1633101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health