Provider Demographics
NPI:1285036970
Name:ANIELLO, STACEY M (LPC, LIMHP)
Entity Type:Individual
Prefix:MRS
First Name:STACEY
Middle Name:M
Last Name:ANIELLO
Suffix:
Gender:F
Credentials:LPC, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18460 WRIGHT ST STE 5
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2400
Mailing Address - Country:US
Mailing Address - Phone:402-850-4755
Mailing Address - Fax:
Practice Address - Street 1:18460 WRIGHT ST STE 5
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2400
Practice Address - Country:US
Practice Address - Phone:402-850-4755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-24
Last Update Date:2023-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4431101YM0800X
NE1748101YM0800X
NE2157101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health