Provider Demographics
NPI:1538880380
Name:HAARBERG, ELIZABETH KEEL (PLMHP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:KEEL
Last Name:HAARBERG
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:KEEL
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2303 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-5032
Mailing Address - Country:US
Mailing Address - Phone:308-244-4131
Mailing Address - Fax:
Practice Address - Street 1:2303 13TH AVE
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-5032
Practice Address - Country:US
Practice Address - Phone:308-244-4131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13130101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health