Provider Demographics
NPI:1619137445
Name:HEART OF AMERICAN FAMILY SERVICES CENTER
Entity Type:Organization
Organization Name:HEART OF AMERICAN FAMILY SERVICES CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:MONTROSE
Authorized Official - Last Name:ROONEY
Authorized Official - Suffix:I
Authorized Official - Credentials:LMHP
Authorized Official - Phone:402-676-1933
Mailing Address - Street 1:PO BOX 34172
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-0172
Mailing Address - Country:US
Mailing Address - Phone:402-676-1933
Mailing Address - Fax:
Practice Address - Street 1:7873 CURTIS AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-8114
Practice Address - Country:US
Practice Address - Phone:402-676-1933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2825101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty