Healthcare Provider Details

I. General information

NPI: 1861306128
Provider Name (Legal Business Name): CHRISTINA BYOUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7725 S 71ST AVE
LA VISTA NE
68128-3007
US

IV. Provider business mailing address

PSC 80 BOX 13116
APO AP
96367-0034
US

V. Phone/Fax

Practice location:
  • Phone: 402-394-4366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15078
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: