Provider Demographics
NPI:1346446184
Name:NOAH, MICHELLE (MA, LIMHP, LADC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:NOAH
Suffix:
Gender:F
Credentials:MA, LIMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13965 HICKORY CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-1151
Mailing Address - Country:US
Mailing Address - Phone:402-659-0284
Mailing Address - Fax:
Practice Address - Street 1:13965 HICKORY CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-1151
Practice Address - Country:US
Practice Address - Phone:402-659-0284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE551101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health