Healthcare Provider Details

I. General information

NPI: 1548086366
Provider Name (Legal Business Name): NEBRASKA FAMILY BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 O ST STE 112
LINCOLN NE
68510-2646
US

IV. Provider business mailing address

8101 O ST STE 112
LINCOLN NE
68510-2646
US

V. Phone/Fax

Practice location:
  • Phone: 402-202-6922
  • Fax:
Mailing address:
  • Phone: 402-202-6922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: VANESSA HARVEY
Title or Position: APRN
Credential: DNP, APRN, PMHNP-BC
Phone: 308-530-7021