Healthcare Provider Details
I. General information
NPI: 1235061037
Provider Name (Legal Business Name): PLAINS THERAPY GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14216 DAYTON CIR STE 5
OMAHA NE
68137-5566
US
IV. Provider business mailing address
14216 DAYTON CIR STE 5
OMAHA NE
68137-5566
US
V. Phone/Fax
- Phone: 402-512-5568
- Fax:
- Phone: 402-512-5568
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MATTHEW
SCHUBERT
Title or Position: OWNER
Credential: LPC
Phone: 402-512-5568