Provider Demographics
NPI:1013447473
Name:FALCONE, ALICIA MICHELLE (MS, PLMHP)
Entity Type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:MICHELLE
Last Name:FALCONE
Suffix:
Gender:F
Credentials:MS, PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 S 113TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-3015
Mailing Address - Country:US
Mailing Address - Phone:402-658-0654
Mailing Address - Fax:
Practice Address - Street 1:424 W 23RD ST STE D
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-1211
Practice Address - Country:US
Practice Address - Phone:402-658-0654
Practice Address - Fax:402-727-4288
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2017-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11186101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health