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)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