Provider Demographics
NPI:1689782609
Name:ERICKSON, LYNETTE S (LMHP LPC)
Entity Type:Individual
Prefix:
First Name:LYNETTE
Middle Name:S
Last Name:ERICKSON
Suffix:
Gender:F
Credentials:LMHP LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5539 S 27TH
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512
Mailing Address - Country:US
Mailing Address - Phone:402-420-2112
Mailing Address - Fax:402-420-2125
Practice Address - Street 1:5539 S 27TH
Practice Address - Street 2:SUITE 101
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512
Practice Address - Country:US
Practice Address - Phone:402-420-2112
Practice Address - Fax:402-420-2125
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2822101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
536022000OtherMAGELLAN
NE85223OtherBLUE CROSS