| Mallory Hope Coulter, LIMHP, LCSW | |
| 
					3901 Normal Blvd Ste 201, Lincoln, NE 68506-5250  | |
| (402) 261-4017 | |
| Not Available | 
| Full Name | Mallory Hope Coulter | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 3901 Normal Blvd Ste 201, Lincoln, Nebraska | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093231417 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 18251 (South Carolina) | Primary | 
| 101YM0800X | Counselor - Mental Health | (Nebraska) | Secondary | 
| Entity Name | Blue Valley Behavioral Health Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316019508 PECOS PAC ID: 3971403668 Enrollment ID: O20040109000728  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mallory Hope Coulter, LIMHP, LCSW 1123 N 9th St, Beatrice, NE 68310-2041 Ph: (402) 228-3386  | Mallory Hope Coulter, LIMHP, LCSW 3901 Normal Blvd Ste 201, Lincoln, NE 68506-5250 Ph: (402) 261-4017  | 
Jessica Mitchell,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 S 7th St, Lincoln, NE 68508 Phone: 402-441-7949  | |
Mr. John Roger Long, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 S 70th St, Lincoln, NE 68510 Phone: 402-489-3802 Fax: 402-486-7872  | |
Ms. Kimberly Marie Widicker-densberger, LCSW, LMHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1005 O Street, Suite 300, Lincoln, NE 68508 Phone: 402-441-8817 Fax: 402-441-7160  | |
Nancy Elizabeth Bare,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1930 S 20th St, Lincoln, NE 68502 Phone: 402-436-1161  | |
Erin Owens,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3820 Mohawk St, Lincoln, NE 68510 Phone: 402-730-4851  | |
Paige Watson,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 620 N 48th St Ste 303, Lincoln, NE 68504 Phone: 918-859-2326  | |
Christine March Herout, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 S 70th St Rm 2203a, Lincoln, NE 68510 Phone: 817-938-9884  |