Organization
HEALING STONE 1
Active
Other names
Healing Stone, Judi Scott PLADC
Organization subpart
No
Provider details
NPI number
Authorized official
JUDI SCOTT (PLADC)
(402) 577-8725
Entity
Organization
Contact information
Practice address
1941 S 42ND ST # 416P, OMAHA, NE 68105-2939
(402) 557-8725
Mailing address
6012 N 102ND ST # 642042, OMAHA, NE 68134-1030
(402) 557-8725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90834
REGISTERED SERVICE PROVIDERS
NE
05
—
90834
—
NE
01
—
90853
REGISTERED SERVICE PROVIDERS
NE
05
—
90853
—
NE
05
—
H0001HF
—
NE
01
—
HOOO1HF
REGISTERED SERVICE PROVIDERS
NE
Enumeration date
06/15/2021
Last updated
11/04/2022
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