Provider Demographics
NPI:1962772749
Name:POSEKANY, MIKAELA (LMHC, PLMHP)
Entity type:Individual
Prefix:
First Name:MIKAELA
Middle Name:
Last Name:POSEKANY
Suffix:
Gender:F
Credentials:LMHC, PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-1627
Mailing Address - Country:US
Mailing Address - Phone:402-490-9224
Mailing Address - Fax:
Practice Address - Street 1:254 ELMWOOD DR
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-1627
Practice Address - Country:US
Practice Address - Phone:402-979-6150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-10
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X
NE10924101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No172V00000XOther Service ProvidersCommunity Health Worker