Provider Demographics
NPI:1851685473
Name:DEY, JENNA (MS, LIMHP)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:DEY
Suffix:
Gender:F
Credentials:MS, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11207 W DODGE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2659
Mailing Address - Country:US
Mailing Address - Phone:402-885-4735
Mailing Address - Fax:
Practice Address - Street 1:11207 W DODGE RD STE 120
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2659
Practice Address - Country:US
Practice Address - Phone:402-885-4735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-31
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1503101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor