Healthcare Provider Details

I. General information

NPI: 1477070415
Provider Name (Legal Business Name): DENISE J BARROW PLMHP, PLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENISE JOY HEIDEN

II. Dates (important events)

Enumeration Date: 08/29/2017
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 VALLEY RD STE 350
LINCOLN NE
68510-4844
US

IV. Provider business mailing address

815 K ST
LINCOLN NE
68508-2245
US

V. Phone/Fax

Practice location:
  • Phone: 402-474-0011
  • Fax: 402-474-0012
Mailing address:
  • Phone: 402-474-0011
  • Fax: 402-474-0012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2275
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1307
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: