Provider Demographics
NPI:1972835213
Name:BORDEN, KELSEY LEIGH (LIMHP, LADC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:LEIGH
Last Name:BORDEN
Suffix:
Gender:F
Credentials:LIMHP, LADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5909 U AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-2345
Mailing Address - Country:US
Mailing Address - Phone:308-440-9598
Mailing Address - Fax:
Practice Address - Street 1:5909 U AVE
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-2345
Practice Address - Country:US
Practice Address - Phone:308-440-9598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1604101YM0800X
NE1325101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1972835213OtherNPI