=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457212060
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MENTALLY AND BEHAVIORALLY BALANCED LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/21/2025
-----------------------------------------------------
Last Update Date | 12/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 720 AVENUE C
-----------------------------------------------------
City | PLATTSMOUTH
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68048-1232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-388-1682
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 720 AVENUE C
-----------------------------------------------------
City | PLATTSMOUTH
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68048-1232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-388-1682
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THERAPIST
-----------------------------------------------------
Name | JAIMIE KAY DIGBY
-----------------------------------------------------
Credential | BCBA,LBA,PLMHP
-----------------------------------------------------
Telephone | 419-388-1682
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------