Healthcare Provider Details

I. General information

NPI: 1477580587
Provider Name (Legal Business Name): LINDA JUNE MARCY LMHP, LPC, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 S 20TH ST
LINCOLN NE
68502-3803
US

IV. Provider business mailing address

PO BOX 22956
LINCOLN NE
68542-2956
US

V. Phone/Fax

Practice location:
  • Phone: 402-440-6110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number863
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number08152
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: