Provider Demographics
NPI:1649629023
Name:CORREA, MARIA ELENA (LIMHP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ELENA
Last Name:CORREA
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 S 42ND ST
Mailing Address - Street 2:1941 S 42ND SUITE 118
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105
Mailing Address - Country:US
Mailing Address - Phone:531-466-2084
Mailing Address - Fax:531-867-3596
Practice Address - Street 1:1941 S 42ND ST SUITE 118
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105
Practice Address - Country:US
Practice Address - Phone:531-466-2084
Practice Address - Fax:531-867-3596
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10424101YM0800X
NE2853101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health