Healthcare Provider Details

I. General information

NPI: 1316440985
Provider Name (Legal Business Name): ALLISON ANN LUETH MSED, LIMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ALLISON ANN CLAAR

II. Dates (important events)

Enumeration Date: 03/09/2018
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3814 A AVE
KEARNEY NE
68847-8124
US

IV. Provider business mailing address

PO BOX 2583
KEARNEY NE
68848-2583
US

V. Phone/Fax

Practice location:
  • Phone: 308-234-6029
  • Fax: 308-237-4792
Mailing address:
  • Phone: 308-234-6029
  • Fax: 308-237-4792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11263
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2770
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: