Individual
MS. LISA M BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
7561 MAIN ST, SUITE 425, OMAHA, NE 68127-3981
(402) 558-7788
(402) 558-8224
Mailing address
7561 MAIN ST, SUITE 425, OMAHA, NE 68127-3981
(402) 558-7788
(402) 558-8224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7561
NE
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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