Provider Demographics
NPI:1114342482
Name:CIRIAN, AMY DAWN (MA, LIMHP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:DAWN
Last Name:CIRIAN
Suffix:
Gender:F
Credentials:MA, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7911 S 151ST AVENUE CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68138-3366
Mailing Address - Country:US
Mailing Address - Phone:308-520-2344
Mailing Address - Fax:
Practice Address - Street 1:7911 S 151ST AVENUE CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68138-3366
Practice Address - Country:US
Practice Address - Phone:308-520-2344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
NE11068101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator