Provider Demographics
NPI:1942534870
Name:SCHROER BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:SCHROER BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KYLENE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHROER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-460-9936
Mailing Address - Street 1:1717 ROAD 2500
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NE
Mailing Address - Zip Code:68957-6022
Mailing Address - Country:US
Mailing Address - Phone:402-460-9936
Mailing Address - Fax:402-756-7566
Practice Address - Street 1:1717 ROAD 2500
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NE
Practice Address - Zip Code:68957-6022
Practice Address - Country:US
Practice Address - Phone:402-460-9936
Practice Address - Fax:402-756-7566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110853363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
10025076100OtherMEDICAID FQHC
NE254815OtherMIDLANDS CHOICE
NE10025079900Medicaid
39166OtherBLUE CROSS BLUE SHIELD
NE281683Medicare PIN