Organization
HEATON COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE S HEATON MS LMHP (OWNER)
(402) 617-0317
Entity
Organization
Contact information
Practice address
6818 CHANDON DR, LINCOLN, NE 68526-6056
(402) 617-0317
Mailing address
6818 CHANDON DR, LINCOLN, NE 68526-6056
(402) 617-0317
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
4845
NE
251S00000X
Community/Behavioral Health Agency
4845
NE
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4845
NE
261QM0850X
Adult Mental Health Clinic/Center
4845
NE
Other
Enumeration date
12/27/2017
Last updated
01/23/2018
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