Provider Demographics
NPI:1548535263
Name:CUNNINGHAM COUNSELING, LLC
Entity type:Organization
Organization Name:CUNNINGHAM COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP
Authorized Official - Phone:402-677-8081
Mailing Address - Street 1:212 S 74TH ST
Mailing Address - Street 2:SUITE 204A
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4615
Mailing Address - Country:US
Mailing Address - Phone:402-677-8081
Mailing Address - Fax:402-934-8344
Practice Address - Street 1:212 S 74TH ST
Practice Address - Street 2:SUITE 204A
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4615
Practice Address - Country:US
Practice Address - Phone:402-677-8081
Practice Address - Fax:402-934-8344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4025101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty