Healthcare Provider Details
I. General information
NPI: 1801731872
Provider Name (Legal Business Name): HEARTLAND THERAPY GROUP OF NEBRASKA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14216 DAYTON CIR STE 5
OMAHA NE
68137-5566
US
IV. Provider business mailing address
9191 BROWNING DR
HUNTINGTON BEACH CA
92646-5247
US
V. Phone/Fax
- Phone: 714-206-9283
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MATTHEW
SCHUBERT
Title or Position: ONER
Credential: LPC
Phone: 714-206-9283