Provider Demographics
NPI:1871647081
Name:MONZON, TRICIA KAY (LIMHP, LADC)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:KAY
Last Name:MONZON
Suffix:
Gender:F
Credentials:LIMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 PLANTATION DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5199
Mailing Address - Country:US
Mailing Address - Phone:402-489-9990
Mailing Address - Fax:402-261-9202
Practice Address - Street 1:3400 PLANTATION DR STE 100
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5199
Practice Address - Country:US
Practice Address - Phone:402-489-9990
Practice Address - Fax:402-261-9202
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2222101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health