Provider Demographics
NPI:1851698534
Name:SANNY, LINDSEY RENAE (MA, LIMHP, LADC, PC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RENAE
Last Name:SANNY
Suffix:
Gender:F
Credentials:MA, LIMHP, LADC, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N 56TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-3511
Mailing Address - Country:US
Mailing Address - Phone:402-450-1901
Mailing Address - Fax:
Practice Address - Street 1:111 N 56TH ST STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-3511
Practice Address - Country:US
Practice Address - Phone:402-450-1901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-16
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE884101YA0400X
NE1927101YP2500X
NE936101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional