Lisa M. Basile

NPI 1083818868 - Counselor - 101YM0800X

NPI Details
NPI 1083818868
Enumeration Date 06/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LISA M. LISA
Position MENTAL HEALTH THERAPIST
Phone (402) 558-7788
Fax (402) 558-8224
Practice Location
7561 MAIN ST
STE. 425
OMAHA NE, 68127-3981, US
Phone (402) 558-7788
Fax (402) 558-8224
Business Location
7561 MAIN ST
STE. 425
OMAHA NE, 68127-3981, US
Phone (402) 558-7788
Fax (402) 558-8224
Toxanomy
Taxonomy Code 101YM0800X
License State Nebraska
License Number 2576
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According to our database, Lisa M. Basile NPI is 1083818868, taxonomy code is 101YM0800X and license number is 2576, license state is located at Nebraska. Lisa M. Basile physically located at 7561 Main St, Omaha NE, 68127-3981. NPI Number 1033115704 has the healthcare provider type.

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1083818868 NPI number is provided on an as is basis without warranty of any kind. 1083818868 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa M. Basile are for informational purposes only.