Organization Name: | MONTY SHULTZ COUNSELING &NEUROFEEDBACK LLC |
NPI Number: | 1063839595 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MONTY SHULTZ (PRESIDENT) |
Mailing Address: | 124 W 25th St Suite B4 Kearney |
State: | NE US |
Postal Code: | 688474406 |
Phone Number: | 3086276119 |
Fax Number: | 3082243711 |
NPI Enumeration Date: | 03/21/2014 |
NPI Last Update Date: | 10/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | 1219 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |