Healthcare Provider Details

I. General information

NPI: 1134046170
Provider Name (Legal Business Name): ABIGAIL BORGMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 VALLEY RD STE 350
LINCOLN NE
68510-4844
US

IV. Provider business mailing address

3632 S 15TH ST
LINCOLN NE
68502-5407
US

V. Phone/Fax

Practice location:
  • Phone: 402-474-0011
  • Fax: 402-474-0012
Mailing address:
  • Phone: 402-831-0901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13571
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: