SearchNebraska101YM0800X

Glenetta Black, MS, PMHP

NPI 1649519737 · on the registry since 2013 · sole proprietor

Practice

Address
3040 Lake St Ste 118
Omaha, NE 68111
Phone
(402) 215-3433
Fax
(402) 445-4498
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska