Provider Demographics
NPI:1174181804
Name:KEEFE, AMBER LYNN (LIMHP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:LYNN
Last Name:KEEFE
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 S CLARK ST
Mailing Address - Street 2:
Mailing Address - City:BASSETT
Mailing Address - State:NE
Mailing Address - Zip Code:68714-6043
Mailing Address - Country:US
Mailing Address - Phone:402-684-2908
Mailing Address - Fax:
Practice Address - Street 1:407 S CLARK ST
Practice Address - Street 2:
Practice Address - City:BASSETT
Practice Address - State:NE
Practice Address - Zip Code:68714-6043
Practice Address - Country:US
Practice Address - Phone:402-684-2908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-29
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11860101YM0800X
NE3299101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health