Provider Demographics
NPI:1700138344
Name:OLSON, ELISSA E (LIMHP, LMHP, PLADC)
Entity type:Individual
Prefix:
First Name:ELISSA
Middle Name:E
Last Name:OLSON
Suffix:
Gender:F
Credentials:LIMHP, LMHP, PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W NORFOLK AVE. SUITE 200
Mailing Address - Street 2:BEHAVIORAL HEALTH SPECIALISTS, INC.
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701
Mailing Address - Country:US
Mailing Address - Phone:402-370-3140
Mailing Address - Fax:402-844-3131
Practice Address - Street 1:900 W NORFOLK AVE STE 200
Practice Address - Street 2:BEHAVIORAL HEALTH SPECIALISTS, INC.
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-5006
Practice Address - Country:US
Practice Address - Phone:402-370-3140
Practice Address - Fax:402-844-3131
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-1168101YA0400X
NE855101YM0800X
NE3715101YM0800X
NE1845101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)