Healthcare Provider Details

I. General information

NPI: 1205742996
Provider Name (Legal Business Name): WHITNEY ANTONS MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MARKET ST
BEATRICE NE
68310-4403
US

IV. Provider business mailing address

1407 DOYLE LN
BEATRICE NE
68310-4706
US

V. Phone/Fax

Practice location:
  • Phone: 402-239-4498
  • Fax:
Mailing address:
  • Phone: 402-239-4498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP2440
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: