Individual
MR. MICHAEL W PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIMHP
Contact information
Practice address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1899
(402) 444-7608
(402) 996-8171
Mailing address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1899
(402) 444-7608
(402) 996-8171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LIMHP 794
NE
101YM0800X
Mental Health Counselor
LMHP1482
NE
101YP2500X
Professional Counselor
938
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10025315700
MEDICAID
NE
05
—
47037661286
—
NE
01
—
84975
BCBS
NE
Enumeration date
12/18/2006
Last updated
12/16/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us