| Michele Taylor, PLMHP | |
|
525 S 9th Ave, Broken Bow, NE 68822-2457 | |
| (308) 872-5040 | |
| (308) 872-5060 |
| Full Name | Michele Taylor |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 525 S 9th Ave, Broken Bow, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235274622 | NPI | - | NPPES |
| 10025173200 | Medicaid | NE | |
| 10025173100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 8028 (Nebraska) | Primary |
| Entity Name | Brightside Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230918000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Taylor, PLMHP 2608 Old Fair Rd, Grand Island, NE 68803-5271 Ph: (308) 382-5297 | Michele Taylor, PLMHP 525 S 9th Ave, Broken Bow, NE 68822-2457 Ph: (308) 872-5040 |
Cherie Mattson, PLMPH Counselor Medicare: Not Enrolled in Medicare Practice Location: 1032 S E St, Broken Bow, NE 68822 Phone: 308-872-2123 | |
Eddie Schaaf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 N 7th Ave, Broken Bow, NE 68822 Phone: 308-872-6821 Fax: 308-872-2751 | |
Valerie Harris, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 145 Memorial Dr, Broken Bow, NE 68822 Phone: 308-872-4020 | |
Ms. Janet E Dobesh, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 S D St, Broken Bow, NE 68822 Phone: 308-872-2123 Fax: 308-872-2123 | |
Christina Danielle Larsen, Counselor Medicare: Medicare Enrolled Practice Location: 525 S 9th Ave, Broken Bow, NE 68822 Phone: 308-872-5040 Fax: 308-872-5060 | |
Mrs. Jessica R Mccaslin, LIMHP, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 S 10th Ave Ste 101, Broken Bow, NE 68822 Phone: 308-381-7487 |