Individual
MISTY RACHELLE CARVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LADC, NCC
Contact information
Practice address
300 S 68TH STREET PL, SUITE 500, LINCOLN, NE 68510-2475
(402) 434-2730
(402) 434-3970
Mailing address
300 S 68TH STREET PL, SUITE 500, LINCOLN, NE 68510-2475
(402) 434-2730
(402) 434-3970
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1053
NE
101YM0800X
Mental Health Counselor
Primary
1215
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47075636930
—
NE
Enumeration date
12/29/2010
Last updated
02/23/2017
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