MICHELLE DIANE STOLLER PLMHP NPI 1043680622

NPI Information

NPI: 1043680622
Provider Name: MICHELLE DIANE STOLLER, PLMHP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Organization: WHOLENESS HEALING CENTER PC

PECOS Registration: Yes

Address:
2608 OLD FAIR RD
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 382-5297
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Michelle Diane Stoller, PLMHP is a mental health counselor in Grand Island, NE with 9 years of experience. Michelle Diane Stoller, PLMHP NPI is 1043680622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2608 OLD FAIR RD
GRAND ISLAND, NE
ZIP 68803-271
Phone: (308) 382-5297
Fax: (308) 382-5315

The NPI 1043680622 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/25/2015 and was last updated on 9/25/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	10683	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10025173100	MEDICAID	NEBRASKA
2	10026194400	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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