Provider Demographics
NPI:1376972315
Name:GILLIGAN, ANNE (MA, LMHP, LPC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:GILLIGAN
Suffix:
Gender:F
Credentials:MA, LMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 O ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2646
Mailing Address - Country:US
Mailing Address - Phone:402-488-1032
Mailing Address - Fax:402-484-8545
Practice Address - Street 1:770 N COTNER BLVD STE 408
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2344
Practice Address - Country:US
Practice Address - Phone:402-875-7350
Practice Address - Fax:402-875-7219
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2093101YP2500X
NE4302101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional