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Organization
MICHELLE A. WOOTEN, LLC
Active
Organization
MICHELLE A. WOOTEN, LLC
Active
Parent organization
WELLSPRING BEHAVORIAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSPRING BEHAVORIAL HEALTH
Authorized official
MICHELLE A WOOTEN LIMHP, CPC (MENTAL HEALTH THERAPIST)
(402) 309-4487
Entity
Organization
Contact information
Practice address
1600 S 70TH ST STE 200, LINCOLN, NE 68506-1568
(402) 937-8832
Mailing address
12019 S 79TH AVE, PAPILLION, NE 68046-4609
(402) 309-4487
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10823
NE
Other
Enumeration date
01/17/2018
Last updated
05/29/2020
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