Provider Demographics
NPI:1174238687
Name:MCKEE, STEPHANI (PLMHP)
Entity type:Individual
Prefix:
First Name:STEPHANI
Middle Name:
Last Name:MCKEE
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 YORKTOWN CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5456
Mailing Address - Country:US
Mailing Address - Phone:402-432-7552
Mailing Address - Fax:
Practice Address - Street 1:2935 PINE LAKE RD STE D
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6009
Practice Address - Country:US
Practice Address - Phone:402-413-8841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13272101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health