Provider Demographics
NPI:1114256914
Name:BOBIER, MICHELLE L (LIMHP, LMHP, PLADC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:BOBIER
Suffix:
Gender:F
Credentials:LIMHP, LMHP, PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 CUMING ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-1952
Mailing Address - Country:US
Mailing Address - Phone:402-898-5974
Mailing Address - Fax:
Practice Address - Street 1:3612 CUMING ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-1952
Practice Address - Country:US
Practice Address - Phone:402-898-5974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3899101YM0800X
NE1113101YM0800X
NEP-1054101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)