Healthcare Provider Details
I. General information
NPI: 1750274387
Provider Name (Legal Business Name): HEALING THE BRAIN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
224 W 2ND ST
ALLIANCE NE
69301-3766
US
IV. Provider business mailing address
PO BOX 518
RUSHVILLE NE
69360-0518
US
V. Phone/Fax
- Phone: 308-225-6167
- Fax: 308-275-2042
- Phone: 308-569-8878
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANA
CERRATO-YOUNG
Title or Position: PROVIDER
Credential: APRN
Phone: 308-856-9887