Wilson, Michele Yvonne

Wilson, Michele Yvonne is an individual health care provider with primary practice located at 2210 W Laguna Rd , Lincoln NE 68522-1153. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wilson, Michele Yvonne can be contacted via phone (402) 525-0733.

Contact Information

Primary practice address
2210 W Laguna Rd Lincoln NE 68522-1153
Phone: (402) 525-0733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 407 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1681 Nebraska
Behavioral Health & Social Service Providers / Professional 101YP2500X 1017 Nebraska

Profile Details

NPI number 1003987736
LBN Legal business name Wilson, Michele Yvonne
Credentials M.S.ED.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1003987736 NPPES
Nebraska MEDICAID 10025441800
Nebraska Other 85542

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