Basic Information
Provider Information
NPI: 1639444508
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRABOWSKI
FirstName: KAREN
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: LMHP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3300 N 60TH ST
Address2:  
City: OMAHA
State: NE
PostalCode: 681043402
CountryCode: US
TelephoneNumber: 4025540520
FaxNumber:  
Practice Location
Address1: 3020 18TH ST
Address2: STE 17
City: COLUMBUS
State: NE
PostalCode: 686014254
CountryCode: US
TelephoneNumber: 4025633833
FaxNumber: 4025628714
Other Information
ProviderEnumerationDate: 03/12/2012
LastUpdateDate: 12/23/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X4392NEN Behavioral Health & Social Service ProvidersCounselorMental Health
101YM0800X9602NEN Behavioral Health & Social Service ProvidersCounselorMental Health
101YM0800X1494NEY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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