Individual
MELISSA A LILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
825 M ST, LINCOLN, NE 68508-2246
(402) 802-4924
Mailing address
825 M ST, LINCOLN, NE 68508-2246
(402) 802-4924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9439
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345680000
MAGELLAN
—
05
—
47075636930
—
NE
01
—
96079, 99037
BLUE CROSS BLUE SHIELD
NE
Enumeration date
04/07/2011
Last updated
01/06/2014
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