Individual
AMY ADELE JACOBY-LOFTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW / LMHP
Contact information
Practice address
7215 ONTARIO ST, OMAHA, NE 68124-3574
(531) 999-7120
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5603
NE
1041C0700X
Clinical Social Worker
Primary
1987
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184332918
CLINIC NPI
NE
01
—
1265422562
ASSOCIATED PROVIDER NPI
NE
Enumeration date
02/14/2023
Last updated
04/24/2024
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