Provider Demographics
NPI:1740612894
Name:ORR, STEPHANIE HAHN (LIMHP, LADC, LPC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:HAHN
Last Name:ORR
Suffix:
Gender:F
Credentials:LIMHP, LADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7562 W APPLE RD
Mailing Address - Street 2:
Mailing Address - City:CLATONIA
Mailing Address - State:NE
Mailing Address - Zip Code:68328-8409
Mailing Address - Country:US
Mailing Address - Phone:402-904-0311
Mailing Address - Fax:
Practice Address - Street 1:7562 W APPLE RD
Practice Address - Street 2:
Practice Address - City:CLATONIA
Practice Address - State:NE
Practice Address - Zip Code:68328-8409
Practice Address - Country:US
Practice Address - Phone:402-904-0311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-31
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2067101YP2500X
NE4173101YM0800X
NE980101YA0400X
NE1429101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026836200Medicaid