Healthcare Provider Details

I. General information

NPI: 1508789009
Provider Name (Legal Business Name): UNBRIDLED HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 MERIDIAN AVE
COZAD NE
69130-1753
US

IV. Provider business mailing address

830 MERIDIAN AVE
COZAD NE
69130-1753
US

V. Phone/Fax

Practice location:
  • Phone: 801-214-1446
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HALLIE MESSERSMITH
Title or Position: OWNER, THERAPIST
Credential: LMHP, LCSW
Phone: 801-214-1446