Healthcare Provider Details

I. General information

NPI: 1083509103
Provider Name (Legal Business Name): NEBRASKA WELLNESS COUNSELING & RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2430 MARSHALL AVE
KEARNEY NE
68847-5704
US

IV. Provider business mailing address

2430 MARSHALL AVE
KEARNEY NE
68847-5704
US

V. Phone/Fax

Practice location:
  • Phone: 308-477-9009
  • Fax: 308-224-3188
Mailing address:
  • Phone: 308-477-9009
  • Fax: 308-224-3188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MONICA A. HAYS
Title or Position: OWNER
Credential: MS, PLMHP, LADC
Phone: 308-477-9009