=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518517432
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DAVE HOYT COUNSELING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2019
-----------------------------------------------------
Last Update Date | 06/10/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1917 W FAIDLEY AVE
-----------------------------------------------------
City | GRAND ISLAND
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68803-4642
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-398-0350
-----------------------------------------------------
Fax | 308-398-0351
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1917 W FAIDLEY AVE
-----------------------------------------------------
City | GRAND ISLAND
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68803-4642
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-398-0350
-----------------------------------------------------
Fax | 308-398-0351
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DAVID HOYT
-----------------------------------------------------
Credential | LIMHP
-----------------------------------------------------
Telephone | 308-252-3179
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------