Provider Demographics
NPI:1194020636
Name:LUFF, LEIGH ANN (MS)
Entity Type:Individual
Prefix:MRS
First Name:LEIGH
Middle Name:ANN
Last Name:LUFF
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 VALLEY RD STE 225
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4892
Mailing Address - Country:US
Mailing Address - Phone:402-483-4581
Mailing Address - Fax:402-483-4594
Practice Address - Street 1:4600 VALLEY RD STE 225
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4892
Practice Address - Country:US
Practice Address - Phone:402-483-4581
Practice Address - Fax:402-483-4594
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-13
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2436101Y00000X
NE421101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE2436OtherLMHP
NE421OtherLADC