Stoller, Michelle Diane

Stoller, Michelle Diane is an individual health care provider with primary practice located at 2608 Old Fair Rd , Grand Island NE 68803-5271. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stoller, Michelle Diane can be contacted via phone (308) 382-5297.

Contact Information

Primary practice address
2608 Old Fair Rd Grand Island NE 68803-5271
Phone: (308) 382-5297
Fax: (308) 382-5315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1744 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2204 Nebraska

Profile Details

NPI number 1043680622
LBN Legal business name Stoller, Michelle Diane
Credentials LCSW, LIMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2015
Last updated Nov 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043680622 NPPES
Nebraska MEDICAID 10026194400
Nebraska MEDICAID 10025173100

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