Provider Demographics
NPI:1013020122
Name:DILL, ARLYS I (LMHP)
Entity Type:Individual
Prefix:MRS
First Name:ARLYS
Middle Name:I
Last Name:DILL
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6171 ROAD T
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:NE
Mailing Address - Zip Code:68315-7048
Mailing Address - Country:US
Mailing Address - Phone:402-768-2188
Mailing Address - Fax:402-768-2188
Practice Address - Street 1:6171 ROAD T
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NE
Practice Address - Zip Code:68315-7048
Practice Address - Country:US
Practice Address - Phone:402-768-2188
Practice Address - Fax:402-768-2188
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1018101YM0800X
NE811101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE84434OtherBCBS NUMBER