Healthcare Provider Details

I. General information

NPI: 1174092175
Provider Name (Legal Business Name): NEURO ELEMENTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2018
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N 16TH ST
LINCOLN NE
68508-1208
US

IV. Provider business mailing address

11400 SW 119TH ST
DENTON NE
68339-3292
US

V. Phone/Fax

Practice location:
  • Phone: 402-576-2607
  • Fax: 402-576-2608
Mailing address:
  • Phone: 402-417-6991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANGELA HILLMAN
Title or Position: OWNER
Credential: LICSW
Phone: 402-417-6991