Provider Demographics
NPI:1235888256
Name:JIMENEZ, NANCY ANAHI (LMHP, LCSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANAHI
Last Name:JIMENEZ
Suffix:
Gender:
Credentials:LMHP, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-5805
Mailing Address - Country:US
Mailing Address - Phone:308-675-3345
Mailing Address - Fax:308-675-3342
Practice Address - Street 1:707 W 1ST ST
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-5805
Practice Address - Country:US
Practice Address - Phone:308-675-3345
Practice Address - Fax:308-675-3342
Is Sole Proprietor?:No
Enumeration Date:2022-03-18
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12397101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health