Individual
MS. ELAINE LEONA BLICKENSTAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LPC
Contact information
Practice address
7602 PACIFIC ST STE 102, OMAHA, NE 68114-5405
(402) 680-8280
Mailing address
7602 PACIFIC ST STE 102, OMAHA, NE 68114-5405
(402) 680-8280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017LMHP 1401CPC
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242064
MIDLANDS CHOICE
NE
05
—
47082303526
—
NE
01
—
84644
BLUE CROSS BLUE SHIELD
NE
Enumeration date
02/14/2007
Last updated
09/28/2025
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