Provider Demographics
NPI:1972993384
Name:ABLER, LYNETTE RENEE (LMHP, M S)
Entity type:Individual
Prefix:MISS
First Name:LYNETTE
Middle Name:RENEE
Last Name:ABLER
Suffix:
Gender:F
Credentials:LMHP, M S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 N 155TH CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-6138
Mailing Address - Country:US
Mailing Address - Phone:402-212-0932
Mailing Address - Fax:
Practice Address - Street 1:8021 CHICAGO ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3533
Practice Address - Country:US
Practice Address - Phone:402-502-1024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4277101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor