# HEARTLAND FAMILY SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063647311
- **Authorized official:** JOHN JEANETTA (PRESIDENT / CEO)
- **Authorized official phone:** (402) 552-7402

## Contact information

- **Practice address:** 1722 AVE C, COUNCIL BLUFFS, IA 51501-2440
- **Practice address phone:** (712) 435-5380
- **Mailing address:** 2101 S 42ND ST, OMAHA, NE 68105-2947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 05/15/2009
- **Last updated:** 08/31/2010