Provider Demographics
NPI:1760199285
Name:ALMEIDA, MITCHELL STEVEN (AAS PLADC)
Entity Type:Individual
Prefix:
First Name:MITCHELL
Middle Name:STEVEN
Last Name:ALMEIDA
Suffix:
Gender:M
Credentials:AAS PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2823 N 81ST ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-6411
Mailing Address - Country:US
Mailing Address - Phone:402-515-5956
Mailing Address - Fax:
Practice Address - Street 1:4312 DREXEL ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-3742
Practice Address - Country:US
Practice Address - Phone:402-515-5956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-03
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1989101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)