Individual
AMANDA L VANLANINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LADC
Contact information
Practice address
1212 IVY AVE, SUITE 2, CRETE, NE 68333-2301
(402) 826-2000
(402) 826-2655
Mailing address
1010 AUTUMN RD, HICKMAN, NE 68372-1423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
997
NE
101YM0800X
Mental Health Counselor
Primary
1085
NE
101YM0800X
Mental Health Counselor
4087
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025207700
—
NE
05
—
10025207900
—
NE
05
—
10025208200
—
NE
05
—
47052851505
—
NE
05
—
47052851508
—
NE
05
—
47052851510
—
NE
Enumeration date
06/28/2010
Last updated
01/22/2014
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