Individual
MARY L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LMHP, CPC
Contact information
Practice address
11711 ARBOR ST STE 110, OMAHA, NE 68144-2975
(402) 414-4746
(855) 918-3603
Mailing address
11711 ARBOR ST STE 110, OMAHA, NE 68144-2975
(402) 414-4746
(855) 918-3603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1362
NE
101YM0800X
Mental Health Counselor
2501
NE
101YM0800X
Mental Health Counselor
Primary
570
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025268300
—
NE
01
—
230777
MIDLANDS CHOICE
NE
01
—
85313
BCBS
NE
Enumeration date
12/26/2006
Last updated
11/13/2023
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