Provider Demographics
NPI:1891117883
Name:FRANSSEN, TRACEE LYNN (LIMHP, LADC)
Entity Type:Individual
Prefix:
First Name:TRACEE
Middle Name:LYNN
Last Name:FRANSSEN
Suffix:
Gender:F
Credentials:LIMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-5805
Mailing Address - Country:US
Mailing Address - Phone:308-675-3345
Mailing Address - Fax:308-395-1060
Practice Address - Street 1:707 W 1ST ST
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-5805
Practice Address - Country:US
Practice Address - Phone:308-675-3345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-10
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1276101YA0400X
NEP-1415101YA0400X
NE4887101YM0800X
NE1883101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1883OtherNEBRASKA DHHS
NE1276OtherNEBRASKA DHHS
NE4887OtherNEBRASKA DEPARTMENT OF HEATLH & HUMAN SERVICES
NEP-1415OtherNEBRASKA DEPARTMENT OF HEALTH & HUMAN SERVICES