# MARISSA CORNELIUS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MC Wildflower Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669348652
- **Authorized official:** MARISSA B CORNELIUS PLMHP, PMSW (COUNSELING)
- **Authorized official phone:** (308) 672-3174

## Contact information

- **Practice address:** 312 N ELM ST STE 112, GRAND ISLAND, NE 68801-4509
- **Practice address phone:** (308) 672-3174
- **Mailing address:** 1739 INGALLS ST, GRAND ISLAND, NE 68803-6138
- **Mailing address phone:** (308) 672-3174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2025
- **Last updated:** 01/02/2026