Provider Demographics
NPI:1295573426
Name:MORSE, BOSTYN HOLLI (MSW)
Entity type:Individual
Prefix:
First Name:BOSTYN
Middle Name:HOLLI
Last Name:MORSE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:BOSTYN
Other - Middle Name:HOLLI
Other - Last Name:SIROVINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSPSYCH
Mailing Address - Street 1:12222 S 28TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-2833
Mailing Address - Country:US
Mailing Address - Phone:916-960-3846
Mailing Address - Fax:
Practice Address - Street 1:1320 GALVIN RD S
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-3064
Practice Address - Country:US
Practice Address - Phone:402-292-6006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-20
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health