| Lisa M. Basile, Ma Llc | |
|
7561 Main St Ste. 425 Omaha NE 68127-3981 | |
| (402) 651-0551 | |
| (402) 651-0551 |
| Full Name | Lisa M. Basile, Ma Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7561 Main St, Omaha, Nebraska |
| Authorized Official Name and Position | Lisa M. Basile (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4026510551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M. Basile, Ma Llc 7516 Main St. Ste. 425 Omaha NE 68127-3981 Ph: (402) 651-0551 | Lisa M. Basile, Ma Llc 7561 Main St Ste. 425 Omaha NE 68127-3981 Ph: (402) 651-0551 |
| NPI Number | 1083818868 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 02/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083818868 | NPI | - | NPPES |
| 1164574596 | Other | NE | 1ST NPI ENUMERATOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2576 (Nebraska) | Primary |
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