Provider Demographics
NPI:1649469818
Name:PRATT, KRISTINE ROBINSON (MS, LIMHP, CMFT)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:ROBINSON
Last Name:PRATT
Suffix:
Gender:F
Credentials:MS, LIMHP, CMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 N 191ST AVE
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-3350
Mailing Address - Country:US
Mailing Address - Phone:402-915-8900
Mailing Address - Fax:402-979-9897
Practice Address - Street 1:3401 N 191ST AVE
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-3350
Practice Address - Country:US
Practice Address - Phone:402-915-8900
Practice Address - Fax:402-979-9897
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE165106H00000X
NE4590101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist