Provider Demographics
NPI:1477962611
Name:ANDERSH, KARIE MARIE (LIMHP)
Entity Type:Individual
Prefix:
First Name:KARIE
Middle Name:MARIE
Last Name:ANDERSH
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:KARIE
Other - Middle Name:MARIE
Other - Last Name:GUNDRUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5824 S 142ND ST STE B
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-2872
Mailing Address - Country:US
Mailing Address - Phone:402-512-3648
Mailing Address - Fax:
Practice Address - Street 1:5824 S 142ND ST STE B
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2872
Practice Address - Country:US
Practice Address - Phone:402-512-3648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-12
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2131101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health