Healthcare Provider Details

I. General information

NPI: 1184587578
Provider Name (Legal Business Name): BHS OF NEBRASKA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S 21ST ST STE 400A
LINCOLN NE
68510-1044
US

IV. Provider business mailing address

200 S 21ST ST STE 400A
LINCOLN NE
68510-1044
US

V. Phone/Fax

Practice location:
  • Phone: 702-589-4871
  • Fax: 702-589-4872
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM TREESE
Title or Position: CEO
Credential:
Phone: 702-528-9947