Healthcare Provider Details

I. General information

NPI: 1558694414
Provider Name (Legal Business Name): DEBRA KAY KNIGHT LMHP, PC, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2009
Last Update Date: 04/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N COTNER BLVD SUITE 106B
LINCOLN NE
68505-2343
US

IV. Provider business mailing address

20140 NW 98TH ST
VALPARAISO NE
68065-8739
US

V. Phone/Fax

Practice location:
  • Phone: 402-540-8650
  • Fax:
Mailing address:
  • Phone: 402-540-8650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number402
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3564
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1787
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: