Provider Demographics
NPI:1053995498
Name:ELKINS, KAREN LEIGH (PLMHP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LEIGH
Last Name:ELKINS
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 LEISURE LN
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-2141
Mailing Address - Country:US
Mailing Address - Phone:402-871-4245
Mailing Address - Fax:
Practice Address - Street 1:1941 S 42ND ST STE 210
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2946
Practice Address - Country:US
Practice Address - Phone:402-341-6220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11510101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health