| Organization Name: | HEARTLAND COUNSELING SERVICES, INC. |
| NPI Number: | 1619322138 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER JO JACKSON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 148 E 1st St Valentine |
| State: | NE US |
| Postal Code: | 692011802 |
| Phone Number: | 4024943337 |
| Fax Number: | 4023362849 |
| NPI Enumeration Date: | 05/03/2016 |
| NPI Last Update Date: | 05/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | SATC105 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |