Organization
FIRESIDE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANDREW GREEN LIMHP (THERAPIST)
(402) 216-1789
Entity
Organization
Contact information
Practice address
7701 PACIFIC ST STE 100, OMAHA, NE 68114-5480
(402) 216-1789
Mailing address
7701 PACIFIC ST STE 100, OMAHA, NE 68114-5480
(402) 216-1789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
01/08/2021
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