Provider Demographics
NPI:1053297978
Name:CULVER, KELLEE KIM (MA, PLMHP)
Entity type:Individual
Prefix:
First Name:KELLEE
Middle Name:KIM
Last Name:CULVER
Suffix:
Gender:F
Credentials:MA, PLMHP
Other - Prefix:
Other - First Name:RIN
Other - Middle Name:KIM
Other - Last Name:CULVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, PLHMP
Mailing Address - Street 1:225 N COTNER BLVD APT 408
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2373
Mailing Address - Country:US
Mailing Address - Phone:402-217-4245
Mailing Address - Fax:
Practice Address - Street 1:1610 S 70TH ST STE 101
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1565
Practice Address - Country:US
Practice Address - Phone:402-810-8833
Practice Address - Fax:833-459-0371
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13985101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health