Nunnally, Carol Countryman
Nunnally, Carol Countryman is an sole proprietor health care provider with primary practice located at 4444 S 86Th T Ste 102 , Lincoln NE 68526-9253. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Nunnally, Carol Countryman can be contacted via phone (402) 476-7557.Contact Information
Primary practice address
4444 S 86Th T Ste 102
Lincoln NE 68526-9253
Phone: (402) 476-7557
Fax: (402) 476-9912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1136 | Nebraska |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 67 | Nebraska |
Profile Details
| NPI number | 1093876872 |
|---|---|
| LBN Legal business name | Nunnally, Carol Countryman |
| Credentials | LCSW LIMHP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Oct 25th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093876872 | NPPES |
| Nebraska | Other | 85299 | BCBS |
| Nebraska | MEDICAID | 10025273400 | BCBS |
| Nebraska | Other | 798299000 | BCBS |
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