Organization
LISA M. BASILE, MA LLC
Active
Other names
Lisa M. Basile MA
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M. BASILE MA, LMHP (MENTAL HEALTH THERAPIST)
(402) 651-0551
Entity
Organization
Contact information
Practice address
7561 MAIN ST, STE. 425, OMAHA, NE 68127-3981
(402) 651-0551
(402) 651-0551
Mailing address
7516 MAIN ST., STE. 425, OMAHA, NE 68127-3981
(402) 651-0551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2576
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164574596
1ST NPI ENUMERATOR
NE
Enumeration date
06/13/2007
Last updated
02/03/2017
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