Provider Demographics
NPI:1891117032
Name:BURR, CHELSEY LYNN
Entity Type:Individual
Prefix:MRS
First Name:CHELSEY
Middle Name:LYNN
Last Name:BURR
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CHELSEY
Other - Middle Name:LYNN
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:202 CAROL ST
Mailing Address - City:TALMAGE
Mailing Address - State:NE
Mailing Address - Zip Code:68448-2807
Mailing Address - Country:US
Mailing Address - Phone:402-599-0443
Mailing Address - Fax:402-397-4177
Practice Address - Street 1:995 12TH ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NE
Practice Address - Zip Code:68446-9201
Practice Address - Country:US
Practice Address - Phone:402-780-1210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-07
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2119101YP2500X
NE4362101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional