Provider Demographics
NPI:1083733653
Name:ROLLINS, CYRENTHIA LA'NELL (LMHP)
Entity Type:Individual
Prefix:MRS
First Name:CYRENTHIA
Middle Name:LA'NELL
Last Name:ROLLINS
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 1:5951 AMES AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2705
Mailing Address - Country:US
Mailing Address - Phone:402-672-4499
Mailing Address - Fax:402-457-1997
Practice Address - Street 1:5951 AMES AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-2705
Practice Address - Country:US
Practice Address - Phone:402-672-4499
Practice Address - Fax:402-457-1997
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3096101YM0800X
NE1635101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional