Doctor Name: | AMANDA L VANLANINGHAM |
NPI Number: | 1417268178 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LIMHP, LADC |
License Number: | 997 |
Business Practice Address: | 1212 Ivy Ave Suite 2 Crete, NE - 683332301 |
Business Phone Number: | 4028262000 |
Business Fax Number: | 4028262655 |
Mailing Address: | 1010 Autumn Rd, HICKMAN |
State: | NE |
Postal Code: | 683721423 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/28/2010 |
NPI Last Update Date: | 01/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 997 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |