Healthcare Provider Details

I. General information

NPI: 1821272287
Provider Name (Legal Business Name): STACEY LYNN CAHILL MS, LIMHP, LMFT, LAD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STACEY LYNN HUNT-AMOS MS, LIMHP, LMFT, LAD

II. Dates (important events)

Enumeration Date: 12/20/2007
Last Update Date: 09/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 N WASHINGTON ST
LEXINGTON NE
68850-1930
US

IV. Provider business mailing address

811 N WASHINGTON ST
LEXINGTON NE
68850-1930
US

V. Phone/Fax

Practice location:
  • Phone: 308-325-1657
  • Fax: 888-729-4153
Mailing address:
  • Phone: 308-325-1657
  • Fax: 888-729-4153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2566
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number106
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number788LADC
License Number StateNE
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number138
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: