Organization
MICHELLE BOOK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BOOK LIMHP (PROVIDER & OWNER)
(402) 522-6405
Entity
Organization
Contact information
Practice address
11725 ARBOR ST STE 210, OMAHA, NE 68144-2974
(402) 552-6405
(402) 333-0860
Mailing address
11725 ARBOR ST STE 210, OMAHA, NE 68144-2974
(402) 552-6405
(402) 333-0860
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13855680
CAQH
NE
Enumeration date
07/31/2019
Last updated
07/31/2019
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