| Michelle Godfrey, Llc | |
|
1904 South St Ste 105 Blair NE 68008-1964 | |
| (402) 677-0851 | |
| Not Available |
| Full Name | Michelle Godfrey, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1904 South St Ste 105, Blair, Nebraska |
| Authorized Official Name and Position | Michelle Marie Godfrey (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4029687871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Godfrey, Llc 8629 Peppermint Ln Fort Calhoun NE 68023-5259 Ph: (402) 968-7871 | Michelle Godfrey, Llc 1904 South St Ste 105 Blair NE 68008-1964 Ph: (402) 677-0851 |
| NPI Number | 1710521398 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 11/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710521398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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