Provider Demographics
NPI:1982860672
Name:KNIGHT, TIMOTHY L (LMHP)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:L
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 S 70TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1576
Mailing Address - Country:US
Mailing Address - Phone:402-488-0077
Mailing Address - Fax:402-488-0017
Practice Address - Street 1:1550 S 70TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1576
Practice Address - Country:US
Practice Address - Phone:402-488-0077
Practice Address - Fax:402-488-0017
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2031101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health