Healthcare Provider Details

I. General information

NPI: 1033028485
Provider Name (Legal Business Name): PAIGE ELIZABETH OSBORNE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 115
SHENANDOAH IA
51601-0115
US

IV. Provider business mailing address

PO BOX 243
SIDNEY IA
51652-0243
US

V. Phone/Fax

Practice location:
  • Phone: 712-246-0159
  • Fax:
Mailing address:
  • Phone: 712-215-1555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number123726
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: