Healthcare Provider Details

I. General information

NPI: 1154928026
Provider Name (Legal Business Name): BEHAVIORAL HEALTH SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 MAIN ST
PENDER NE
68047-5051
US

IV. Provider business mailing address

1900 VICKI LN
NORFOLK NE
68701-4558
US

V. Phone/Fax

Practice location:
  • Phone: 402-370-3140
  • Fax:
Mailing address:
  • Phone: 402-370-3140
  • Fax: 402-379-1397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARSHA HART
Title or Position: BUSINESS OFFICE SUPERVISOR
Credential:
Phone: 402-370-3140