Provider Demographics
NPI:1174847164
Name:CAVE, KORINA LYNN (PLMHP)
Entity Type:Individual
Prefix:MS
First Name:KORINA
Middle Name:LYNN
Last Name:CAVE
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3300 N 60TH ST
Mailing Address - Street 2:CATHOLIC CHARITIES
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-3402
Mailing Address - Country:US
Mailing Address - Phone:402-554-0520
Mailing Address - Fax:402-551-8797
Practice Address - Street 1:3020 18TH ST STE 17
Practice Address - Street 2:CATHOLIC CHARITIES
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-4254
Practice Address - Country:US
Practice Address - Phone:402-563-3833
Practice Address - Fax:402-562-8714
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE9114101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health