Provider Demographics
NPI:1255888780
Name:BURWELL, LANCE L (LMHC & LIMHP, PC)
Entity type:Individual
Prefix:
First Name:LANCE
Middle Name:L
Last Name:BURWELL
Suffix:
Gender:M
Credentials:LMHC & LIMHP, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 S 52ND ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-1802
Mailing Address - Country:US
Mailing Address - Phone:402-559-2666
Mailing Address - Fax:
Practice Address - Street 1:804 S 52ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-1802
Practice Address - Country:US
Practice Address - Phone:402-559-2666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA081199101YM0800X
NE3300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health