Organization
MICHELLE GODFREY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MARIE GODFREY PLMHP (MENTAL HEALTH THERAPIST)
(402) 968-7871
Entity
Organization
Contact information
Practice address
1904 SOUTH ST STE 105, BLAIR, NE 68008-1964
(402) 677-0851
Mailing address
8629 PEPPERMINT LN, FORT CALHOUN, NE 68023-5259
(402) 968-7871
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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