Provider Demographics
NPI:1750585717
Name:MILLARD, MICHELE (LMHP)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:MILLARD
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 INDIAN HILLS DR
Mailing Address - Street 2:# 350B
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4029
Mailing Address - Country:US
Mailing Address - Phone:402-991-9630
Mailing Address - Fax:402-393-1184
Practice Address - Street 1:8901 INDIAN HILLS DR
Practice Address - Street 2:# 350B
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4029
Practice Address - Country:US
Practice Address - Phone:402-991-9630
Practice Address - Fax:402-393-1184
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE574101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health