Monty Shultz Counseling & Neurofeedback Llc

LBN: Monty Shultz Counseling & Neurofeedback Llc
Monty Shultz Counseling & Neurofeedback Llc is an health care organization with primary practice located at 2002 Central Ave , Kearney NE 68847-5302. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Monty Shultz Counseling & Neurofeedback Llc can be contacted via phone (308) 627-6119, or through Shultz, Monty via phone (308) 627-6119.

Contact Information

Primary practice address
2002 Central Ave Kearney NE 68847-5302
Phone: (308) 627-6119
Fax: (308) 224-3711
Website:
Map and Directions
Authorized official contact:
Name: Shultz, Monty LICSW
Phone: (308) 627-6119

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 1219 Nebraska
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 1219 Nebraska
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1063839595
LBN Legal business name Monty Shultz Counseling & Neurofeedback Llc
DBA Doing business as
Authorized official Shultz, Monty LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2014
Last updated Sep 6th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063839595 NPPES
Nebraska Other 1219 LICENSED INDEPENDENT CLINICAL SOCIAL WORKER
Nebraska MEDICAID 10026398900 LICENSED INDEPENDENT CLINICAL SOCIAL WORKER

Popular Providers