Provider Demographics
NPI:1073168357
Name:AUSTIN-MAFILIKA, AMANDA (LIMHP, LADC, LPC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:AUSTIN-MAFILIKA
Suffix:
Gender:F
Credentials:LIMHP, LADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 S 70TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1563
Mailing Address - Country:US
Mailing Address - Phone:402-243-0650
Mailing Address - Fax:844-448-5489
Practice Address - Street 1:1620 S 70TH ST STE 105
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1563
Practice Address - Country:US
Practice Address - Phone:402-243-0650
Practice Address - Fax:844-448-5489
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2970101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health