Healthcare Provider Details

I. General information

NPI: 1679482152
Provider Name (Legal Business Name): ABIGAIL ELKINS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 N MAIN ST
KOKOMO IN
46901-4622
US

IV. Provider business mailing address

322 N MAIN ST
KOKOMO IN
46901-4622
US

V. Phone/Fax

Practice location:
  • Phone: 765-776-8555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. ABIGAIL ELKINS
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential:
Phone: 765-432-0995