Female

Tara Ellis LIMHP

Counselor in Omaha, NE(View on Map)

Full Name

Tara Ellis LIMHP

NPI Number

1700346202

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/21/2019

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Licenses

State

Nebraska
Nebraska

License Number

2529
11803

Contact
Information

Purpose

Mailing
Location

Address

3677 N 129TH ST
3677 N 129TH ST

City

Omaha
Omaha

State

NE
NE

Postal Code

68164-5211
68164-5211

Country

US
US

Telephone Number

(573) 719-9655
(573) 719-9655

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/16/2023

Provider Address

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