Healthcare Provider Details

I. General information

NPI: 1346839156
Provider Name (Legal Business Name): POSSIBILITIES BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2021
Last Update Date: 01/15/2021
Certification Date: 01/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12012 ROBERTS RD STE C&D
LA VISTA NE
68128-5500
US

IV. Provider business mailing address

12012 ROBERTS RD STE C&D
LA VISTA NE
68128-5500
US

V. Phone/Fax

Practice location:
  • Phone: 402-800-3787
  • Fax:
Mailing address:
  • Phone: 402-800-3787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CARA EHEGARTNER
Title or Position: OWNER
Credential:
Phone: 402-800-3787