Provider Demographics
NPI:1821272287
Name:CAHILL, STACEY LYNN (MS, LIMHP, LMFT, LAD)
Entity Type:Individual
Prefix:MS
First Name:STACEY
Middle Name:LYNN
Last Name:CAHILL
Suffix:
Gender:F
Credentials:MS, LIMHP, LMFT, LAD
Other - Prefix:MS
Other - First Name:STACEY
Other - Middle Name:LYNN
Other - Last Name:HUNT-AMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LIMHP, LMFT, LAD
Mailing Address - Street 1:811 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68850-1930
Mailing Address - Country:US
Mailing Address - Phone:308-325-1657
Mailing Address - Fax:888-729-4153
Practice Address - Street 1:811 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NE
Practice Address - Zip Code:68850-1930
Practice Address - Country:US
Practice Address - Phone:308-325-1657
Practice Address - Fax:888-729-4153
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2566101YM0800X
NE106101YM0800X
NE788LADC101YA0400X
NE138101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE85489OtherBCBS
NE1002 580 2700Medicaid
600 583 948OtherMAGELLAN
NE65126025368850A002OtherTRICARE-LEXINGTON
NE1002 580 2900Medicaid
NE232809OtherMIDLANDS CHOICE