Provider Demographics
NPI:1457688046
Name:HOVLAND, MARCIA LEE (LMHP, LPC, LMFT)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:LEE
Last Name:HOVLAND
Suffix:
Gender:F
Credentials:LMHP, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HWY77/75
Mailing Address - Street 2:P.O. BOX 466
Mailing Address - City:WINNEBAGO
Mailing Address - State:NE
Mailing Address - Zip Code:68071
Mailing Address - Country:US
Mailing Address - Phone:402-878-2911
Mailing Address - Fax:402-878-2027
Practice Address - Street 1:CORNER OF HWY 77 AND 75
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:NE
Practice Address - Zip Code:68071
Practice Address - Country:US
Practice Address - Phone:402-878-2911
Practice Address - Fax:402-878-2027
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1257101YM0800X
NE887101YP2500X
NE62106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist