# MICHELLE A. WOOTEN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WELLSPRING BEHAVORIAL HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457869067
- **Legal business name:** WELLSPRING BEHAVORIAL HEALTH
- **Authorized official:** MICHELLE A WOOTEN LIMHP, CPC (MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (402) 309-4487

## Contact information

- **Practice address:** 1600 S 70TH ST STE 200, LINCOLN, NE 68506-1568
- **Practice address phone:** (402) 937-8832
- **Mailing address:** 12019 S 79TH AVE, PAPILLION, NE 68046-4609
- **Mailing address phone:** (402) 309-4487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 10823 | NE | Yes |

## Other

- **Enumeration date:** 01/17/2018
- **Last updated:** 05/29/2020