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 |
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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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