Provider Demographics
NPI:1083425011
Name:MCPHILLIPS, LAURYN (PLMHP, PCMSW)
Entity type:Individual
Prefix:
First Name:LAURYN
Middle Name:
Last Name:MCPHILLIPS
Suffix:
Gender:F
Credentials:PLMHP, PCMSW
Other - Prefix:
Other - First Name:LAURYN
Other - Middle Name:
Other - Last Name:MULLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:402 S SMITH AVE
Mailing Address - Street 2:
Mailing Address - City:KENESAW
Mailing Address - State:NE
Mailing Address - Zip Code:68956-1503
Mailing Address - Country:US
Mailing Address - Phone:970-466-9899
Mailing Address - Fax:
Practice Address - Street 1:514 W 11TH ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-7336
Practice Address - Country:US
Practice Address - Phone:308-237-4085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8584101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty