# LISA M. BASILE, MA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lisa M. Basile MA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083818868
- **Authorized official:** LISA M. BASILE MA, LMHP (MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (402) 651-0551

## Contact information

- **Practice address:** 7561 MAIN ST, STE. 425, OMAHA, NE 68127-3981
- **Practice address phone:** (402) 651-0551
- **Practice address fax:** (402) 651-0551
- **Mailing address:** 7516 MAIN ST., STE. 425, OMAHA, NE 68127-3981
- **Mailing address phone:** (402) 651-0551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 2576 | NE | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 02/03/2017