Healthcare Provider Details
I. General information
NPI: 1467371781
Provider Name (Legal Business Name): PARADISE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
931 W LEON DR
LINCOLN NE
68521-3765
US
IV. Provider business mailing address
931 W LEON DR
LINCOLN NE
68521-3765
US
V. Phone/Fax
- Phone: 402-304-4978
- Fax: 402-322-7360
- Phone: 402-304-4978
- Fax: 402-322-7360
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIMOTHY
S
SCHULTZ
Title or Position: MENTAL HEALTH/ADDICTION THERAPIST
Credential: LIMHP, LADC
Phone: 402-304-4978