MICHELLE GODFREY, LLC (NPI# 1710521398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710521398 |
Entity Type | Organization |
Organization Name | MICHELLE GODFREY, LLC |
Practice Address |
1904 South St Ste 105 Blair NE 68008-1964 |
Mailing Address |
8629 Peppermint Ln Fort Calhoun NE 68023-5259 |
Practice Telephone | 4026770851 |
Mailing Telephone | 4029687871 |
Enumeration Date | 2019-11-06 |
Last Update Date | 2019-11-06 |
Authorized Official Name | MICHELLE MARIE GODFREY (MENTAL HEALTH THERAPIST) |
Authorized Official Telephone | 4029687871 |
Authorized Official Credential | PLMHP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
1904 SOUTH ST STE 105 |
City | BLAIR |
State | NE |
Zip Code | 68008-1964 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235747080 | Mark Allen Kwikkel | Specialist/Technologist | 310 N 10th, Blair, NE 68008 | 2020-07-17 |
1750752432 | Mindy Logston | Speech-Language Pathologist | 1717 Adams Street, Blair, NE 68008 | 2015-10-07 |
1952545709 | Home Care Network, Inc | Nursing Care | 14700 State Highway 133, Blair, NE 68008 | 2009-04-23 |
1619114246 | Andrea L Ott | Physician Assistant | 812 N 22nd Street, Blair Clinic, Blair, NE 68008 | 2009-01-20 |
1730376047 | Assisted Living Concepts Inc | Assisted Living Facility | 1028 Joann Drive, Blair, NE 68008 | 2007-10-01 |
1497956478 | Charles Leroy Gleeson | Pharmacist | 9889 Cr 29, Blair, NE 68008 | 2007-05-29 |
1144322082 | Richard K Ward | Emergency Medicine | 810 N. 22nd Street, Mch & Health System, Blair, NE 68008 | 2006-09-01 |
1942319116 | Lisa A. Babcock | Audiologist | 11223 N. Lakeshore Dr., Blair, NE 68008 | 2006-08-30 |
1841637139 | Paula J. Thielen-kocharov | Family Medicine | 812 N 22nd St, Blair, NE 68008 | 2013-05-28 |
1588849848 | Vision Care Clinic PC | Optometrist | 1526 Washington St, Blair, NE 68008 | 2008-01-07 |
Find all providers in zip 68008 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.