Healthcare Provider Details

I. General information

NPI: 1174002810
Provider Name (Legal Business Name): OLIVIA CHRISTENSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2018
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 J ST STE 100
LINCOLN NE
68508-2915
US

IV. Provider business mailing address

650 J ST STE 100
LINCOLN NE
68508-2915
US

V. Phone/Fax

Practice location:
  • Phone: 402-988-1252
  • Fax:
Mailing address:
  • Phone: 402-988-1252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2445
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP-1616
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: