Provider Demographics
NPI:1528117017
Name:TWO BULLS, ROSALIE (LMHP)
Entity type:Individual
Prefix:MRS
First Name:ROSALIE
Middle Name:
Last Name:TWO BULLS
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 INDIAN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MACY
Mailing Address - State:NE
Mailing Address - Zip Code:68039
Mailing Address - Country:US
Mailing Address - Phone:402-837-5381
Mailing Address - Fax:402-837-5303
Practice Address - Street 1:100 INDIAN HILLS DR
Practice Address - Street 2:
Practice Address - City:MACY
Practice Address - State:NE
Practice Address - Zip Code:68039
Practice Address - Country:US
Practice Address - Phone:402-837-5381
Practice Address - Fax:402-837-5303
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE460101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor