Provider Demographics
NPI:1902942253
Name:HOLLIS, LOENE ANNETTE (MS, LMHP)
Entity Type:Individual
Prefix:MS
First Name:LOENE
Middle Name:ANNETTE
Last Name:HOLLIS
Suffix:
Gender:F
Credentials:MS, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 GATEWAY MALL STE 326
Mailing Address - Street 2:GREENTREE COURT
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2449
Mailing Address - Country:US
Mailing Address - Phone:402-471-3773
Mailing Address - Fax:
Practice Address - Street 1:210 GATEWAY MALL STE 326
Practice Address - Street 2:GREENTREE COURT
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2449
Practice Address - Country:US
Practice Address - Phone:402-471-3773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2422101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health