MEDICARE: CHANTEL EBERLE LIMHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	5063	NE
2	101YP2500X	Professional Counselor	2001	NE
3	101YM0800X	Mental Health Counselor	10724	NE

General Provider Information

NPI Number	:	1881112506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANTEL EBERLE LIMHP

Provider Business Mailing Address
First Line	:	3980 S 150TH PLZ
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68144-5538
Country	:	US
Telephone Number	:	402-215-9998
Fax Number	:	402-991-7631

Provider Business Practice Location Address
First Line	:	1309 HARLAN DR STE 102
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-6604
Country	:	US
Telephone Number	:	402-215-9998
Fax Number	:	402-991-7631

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2017
Last Update Date	:	02/07/2023

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Directions to “ CHANTEL EBERLE LIMHP” Practice Location

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