Healthcare Provider Details
I. General information
NPI: 1396425989
Provider Name (Legal Business Name): ABIGAIL VOLKMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/19/2023
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
301 S 70TH ST STE 360
LINCOLN NE
68510-2469
US
IV. Provider business mailing address
6600 EVERETT ST
LINCOLN NE
68506-1517
US
V. Phone/Fax
- Phone: 402-631-1985
- Fax:
- Phone: 402-875-1286
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 15107 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | RBT-23-284163 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: