Provider Demographics
NPI:1891183455
Name:HANSEN, LYNDSEY (LMHP, LIMHP, LADC)
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:
Last Name:HANSEN
Suffix:
Gender:F
Credentials:LMHP, LIMHP, LADC
Other - Prefix:
Other - First Name:LYNDSEY
Other - Middle Name:
Other - Last Name:CLEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13460 WALSH DR
Mailing Address - Street 2:
Mailing Address - City:BOYS TOWN
Mailing Address - State:NE
Mailing Address - Zip Code:68010-7529
Mailing Address - Country:US
Mailing Address - Phone:531-355-3358
Mailing Address - Fax:531-355-3375
Practice Address - Street 1:2401 LAKE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-3872
Practice Address - Country:US
Practice Address - Phone:402-455-9757
Practice Address - Fax:402-591-5075
Is Sole Proprietor?:No
Enumeration Date:2015-01-06
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-1226101YA0400X
NE1994101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)