Provider Demographics
NPI:1962821926
Name:HAIN, ANNA (LMHP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:HAIN
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 W 25TH ST
Mailing Address - Street 2:SUITE B4
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-4406
Mailing Address - Country:US
Mailing Address - Phone:308-778-6271
Mailing Address - Fax:308-224-3711
Practice Address - Street 1:124 W 25TH ST
Practice Address - Street 2:SUITE B4
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-4406
Practice Address - Country:US
Practice Address - Phone:308-778-6271
Practice Address - Fax:308-224-3711
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NE4879101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program