Organization
MICHELLE A. WOOTEN, LLC
Active
Parent organization
WELLSPRING BEHAVORIAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSPRING BEHAVORIAL HEALTH
Authorized official
MICHELLE A WOOTEN LIMHP, CPC (MENTAL HEALTH THERAPIST)
(402) 309-4487
Entity
Organization
Contact information
Practice address
1600 S 70TH ST STE 200, LINCOLN, NE 68506-1568
(402) 937-8832
Mailing address
12019 S 79TH AVE, PAPILLION, NE 68046-4609
(402) 309-4487
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10823
NE
Other
Enumeration date
01/17/2018
Last updated
05/29/2020
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