Provider Demographics
NPI:1568686863
Name:HEFFELFINGER MARX, AMI RENEE' (LMHP, CMFT)
Entity type:Individual
Prefix:MRS
First Name:AMI
Middle Name:RENEE'
Last Name:HEFFELFINGER MARX
Suffix:
Gender:F
Credentials:LMHP, CMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 S 84TH ST STE 219
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2600
Mailing Address - Country:US
Mailing Address - Phone:026-101-5524
Mailing Address - Fax:
Practice Address - Street 1:245 S 84TH ST STE 219
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2600
Practice Address - Country:US
Practice Address - Phone:026-101-5524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2161106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE85446OtherBCBS
NE235014OtherMIDLANDS
NE10025282500Medicaid
NE250176000OtherMAGELLAN