Provider Demographics
NPI:1023268851
Name:YANNEY-WEHBI, MICHELE E (LIMHP)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:E
Last Name:YANNEY-WEHBI
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4209 N 147TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-1434
Mailing Address - Country:US
Mailing Address - Phone:402-392-2527
Mailing Address - Fax:
Practice Address - Street 1:444 REGENCY PARKWAY DR
Practice Address - Street 2:SUITE 104
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3792
Practice Address - Country:US
Practice Address - Phone:402-932-2296
Practice Address - Fax:402-281-0665
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025832900Medicaid