Provider Demographics
NPI:1720220270
Name:CRAYNE, LAURIE (LMHP)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:CRAYNE
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:CRAYNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHP
Mailing Address - Street 1:8922 CUMING ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2732
Mailing Address - Country:US
Mailing Address - Phone:402-926-4373
Mailing Address - Fax:402-926-3898
Practice Address - Street 1:8922 CUMING ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2732
Practice Address - Country:US
Practice Address - Phone:402-926-4373
Practice Address - Fax:402-926-3898
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8142101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100252571-00Medicaid
NE3984OtherLICENSED MENTAL HEALTH PRACTITIONER (LMHP)
NE8142OtherPROVISIONAL MENTAL HEALTH PRACTITIONER