=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750274387
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALING THE BRAIN
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/02/2025
-----------------------------------------------------
Last Update Date | 06/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 224 W 2ND ST
-----------------------------------------------------
City | ALLIANCE
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 69301-3766
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-225-6167
-----------------------------------------------------
Fax | 308-275-2042
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 518
-----------------------------------------------------
City | RUSHVILLE
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 69360-0518
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-569-8878
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROVIDER
-----------------------------------------------------
Name | ANA CERRATO-YOUNG
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 308-856-9887
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------