Mary Elizabeth Brendis, MS LMHP

Individual provider Active NPI Mental Health Counselor · Omaha, NE

NPI 1275698474 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1275698474
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
1695 (NE)
Practice address
11920 Burt St
Suite #190
Omaha, NE 68154
Phone
(402) 965-4004
Fax
(402) 965-4232
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1695NEMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1695 NE Yes

Addresses

Primary practice location

11920 Burt St
Suite #190
Omaha, NE 68154

Mailing address

11920 Burt St
Suite #190 Alliance Counseling Center LLP
Omaha, NE 68154
Phone (402) 965-4004

Other identifiers

IdentifierTypeStateIssuer
10025086600MedicaidNE

Other providers in Omaha, NE

All providers in Omaha, NE · Mental Health Counselor in Nebraska

Sources for this page

Verify at the official NPI Registry.