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NPI Code Detail

MEDICARE: AMANDA SUE MILANDER-MACE LIMHP, LMHP, CPC

MEDICARE: AMANDA SUE MILANDER-MACE LIMHP, LMHP, CPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor1458NE
2101YM0800XMental Health Counselor8411NE

General Provider Information

NPI Number : 1427240159
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA SUE MILANDER-MACE LIMHP, LMHP, CPC
Provider Business Mailing Address
First Line : 1800 W PASEWALK AVE STE A
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5657
Country : US
Telephone Number : 402-500-6870
Fax Number :
Provider Business Practice Location Address
First Line : 1800 W PASEWALK AVE STE A
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5657
Country : US
Telephone Number : 402-500-6870
Fax Number : 402-500-6871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2007
Last Update Date : 02/02/2021

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