# PSYCHNEBRASKA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PsychNebraska
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023873577
- **Authorized official:** MR. PAUL M WILKEN PMHNP-BC (PRESIDENT)
- **Authorized official phone:** (531) 272-8322

## Contact information

- **Practice address:** 18651 WEBSTER CIR, ELKHORN, NE 68022-3948
- **Practice address phone:** (531) 272-8322
- **Practice address fax:** (531) 272-8823
- **Mailing address:** 18651 WEBSTER CIR, ELKHORN, NE 68022-3948
- **Mailing address phone:** (531) 272-8322
- **Mailing address fax:** (531) 272-8823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2024
- **Last updated:** 09/18/2024