Provider Demographics
NPI:1831429828
Name:HRUBY, HEATHER (LMHP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:HRUBY
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10840 OLD MILL RD
Mailing Address - Street 2:STE 300
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2646
Mailing Address - Country:US
Mailing Address - Phone:402-253-9936
Mailing Address - Fax:402-205-4200
Practice Address - Street 1:10840 OLD MILL RD
Practice Address - Street 2:STE 300
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2646
Practice Address - Country:US
Practice Address - Phone:402-253-9936
Practice Address - Fax:402-205-4200
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2017-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4281101YM0800X
NE1075101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)