Provider Demographics
NPI:1548336720
Name:BOND, SHELIA K (LMHP)
Entity type:Individual
Prefix:MRS
First Name:SHELIA
Middle Name:K
Last Name:BOND
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3720 AVE A
Mailing Address - Street 2:SUITE C
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68848
Mailing Address - Country:US
Mailing Address - Phone:308-236-7790
Mailing Address - Fax:308-236-7790
Practice Address - Street 1:3720 AVE A
Practice Address - Street 2:SUITE C
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68848
Practice Address - Country:US
Practice Address - Phone:308-236-7790
Practice Address - Fax:308-236-7790
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE335101YM0800X
NE350101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE84522OtherBCBS
NE47069738326Medicaid