Individual
MICHELE LYNN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP,LMHP, LADC,LPC
Contact information
Practice address
11515 S 39TH ST STE 300, BELLEVUE, NE 68123-5206
(402) 292-9105
Mailing address
124 S 24TH ST STE 230, OMAHA, NE 68102-1226
(402) 978-5644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1524
NE
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
2766
NE
Other
Enumeration date
01/18/2021
Last updated
12/22/2023
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