Provider Demographics
NPI:1033509930
Name:HAVENER, JULIE ANNE (LMHP, LPC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:HAVENER
Suffix:
Gender:F
Credentials:LMHP, LPC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANNE
Other - Last Name:KLIEWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7501 O ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2485
Mailing Address - Country:US
Mailing Address - Phone:402-477-0651
Mailing Address - Fax:402-477-0332
Practice Address - Street 1:7501 O ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2485
Practice Address - Country:US
Practice Address - Phone:402-477-0651
Practice Address - Fax:402-477-0332
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NELMHP 4055, LPC 1998101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health