Provider Demographics
NPI:1467146316
Name:MAY, GINA CECILIA (MA, PLMHP)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:CECILIA
Last Name:MAY
Suffix:
Gender:F
Credentials:MA, PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 R ST APT 406
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-1435
Mailing Address - Country:US
Mailing Address - Phone:650-862-6147
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 880311
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68588-0311
Practice Address - Country:US
Practice Address - Phone:402-472-2351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13396101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health