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Organization

INNOVATIVE SOLUTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANDREA PHILLIPS PLMHP (THERAPIST)
(402) 730-7841
Entity
Organization

Contact information

Practice address
9110 FOXTAIL DR, LINCOLN, NE 68526-9521
(402) 890-4954
Mailing address
9110 FOXTAIL DR, LINCOLN, NE 68526-9521
(402) 890-4954

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7975
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025423500
NE
Enumeration date
09/27/2006
Last updated
08/22/2020
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