Healthcare Provider Details

I. General information

NPI: 1558765495
Provider Name (Legal Business Name): JUSTICE BEHAVIORAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2014
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 UNION DR STE 100
LINCOLN NE
68516-6629
US

IV. Provider business mailing address

3701 UNION DR STE 100
LINCOLN NE
68516-6629
US

V. Phone/Fax

Practice location:
  • Phone: 402-875-9270
  • Fax: 402-875-9272
Mailing address:
  • Phone: 402-875-9270
  • Fax: 402-875-9272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number603
License Number StateNE

VIII. Authorized Official

Name: MARY-KATHRYN HUNSBERGER
Title or Position: PSYCHOLOGIST/OWNER
Credential: PH.D.
Phone: 402-326-3641