Provider Demographics
NPI:1760894307
Name:LAGING, MARY JOAN (MA LMHP)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:JOAN
Last Name:LAGING
Suffix:
Gender:F
Credentials:MA LMHP
Other - Prefix:MISS
Other - First Name:MARY
Other - Middle Name:JEAN
Other - Last Name:ENGELHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA LMHP
Mailing Address - Street 1:4100 SOUTH ST.
Mailing Address - Street 2:SUITE A
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506
Mailing Address - Country:US
Mailing Address - Phone:402-488-8898
Mailing Address - Fax:
Practice Address - Street 1:4100 SOUTH ST.
Practice Address - Street 2:SUITE A
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506
Practice Address - Country:US
Practice Address - Phone:402-488-8898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE236101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health