Provider Demographics
NPI:1295089548
Name:YOUTZ, RYAN ALDEN (LIMHP, CMSW)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:ALDEN
Last Name:YOUTZ
Suffix:
Gender:
Credentials:LIMHP, CMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1449 S 12TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68108-3538
Mailing Address - Country:US
Mailing Address - Phone:402-677-2692
Mailing Address - Fax:
Practice Address - Street 1:108 N 49TH ST STE 213
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-3147
Practice Address - Country:US
Practice Address - Phone:402-677-2692
Practice Address - Fax:531-329-6807
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4918101YM0800X
NE16901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health