Eisenbarth, Kandy

Eisenbarth, Kandy is an sole proprietor health care provider with primary practice located at 4535 Normal Blvd Suite 142, Lincoln NE 68506-5576. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Eisenbarth, Kandy can be contacted via phone (402) 327-1634.

Contact Information

Primary practice address
4535 Normal Blvd Suite 142 Lincoln NE 68506-5576
Phone: (402) 327-1634
Fax: (402) 261-8263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 492 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2322 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 319 Nebraska
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 103 Nebraska

Profile Details

NPI number 1528485034
LBN Legal business name Eisenbarth, Kandy
Credentials LIMHP, LMFT, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2014
Last updated Oct 22nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528485034 NPPES
Nebraska MEDICAID 10026600700

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