Healthcare Provider Details

I. General information

NPI: 1457212060
Provider Name (Legal Business Name): MENTALLY AND BEHAVIORALLY BALANCED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 AVENUE C
PLATTSMOUTH NE
68048-1232
US

IV. Provider business mailing address

720 AVENUE C
PLATTSMOUTH NE
68048-1232
US

V. Phone/Fax

Practice location:
  • Phone: 419-388-1682
  • Fax:
Mailing address:
  • Phone: 419-388-1682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JAIMIE KAY DIGBY
Title or Position: THERAPIST
Credential: BCBA,LBA,PLMHP
Phone: 419-388-1682