Healthcare Provider Details

I. General information

NPI: 1609575323
Provider Name (Legal Business Name): AUSHNEE RHODES PLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 W BROADWAY
COUNCIL BLUFFS IA
51501-3814
US

IV. Provider business mailing address

5806 FOWLER AVE
OMAHA NE
68104-2134
US

V. Phone/Fax

Practice location:
  • Phone: 712-215-6588
  • Fax:
Mailing address:
  • Phone: 308-627-1837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP-2039
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: