Provider Demographics
NPI:1700919347
Name:BODE, LIANE LYNNE (LMHP, CPC)
Entity type:Individual
Prefix:MRS
First Name:LIANE
Middle Name:LYNNE
Last Name:BODE
Suffix:
Gender:F
Credentials:LMHP, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-0854
Mailing Address - Country:US
Mailing Address - Phone:402-844-3073
Mailing Address - Fax:402-844-3828
Practice Address - Street 1:1309 N 9TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-0854
Practice Address - Country:US
Practice Address - Phone:402-844-3073
Practice Address - Fax:402-844-3828
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2384101YM0800X
NE1314101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional