Provider Demographics
NPI:1881098291
Name:BEHAVIORAL HEALTH RESOURCES, LLC
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHREN
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, LADC, MAC
Authorized Official - Phone:402-486-1101
Mailing Address - Street 1:7441 O ST STE 107
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2468
Mailing Address - Country:US
Mailing Address - Phone:402-486-1101
Mailing Address - Fax:402-486-4342
Practice Address - Street 1:7441 O ST STE 107
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2468
Practice Address - Country:US
Practice Address - Phone:402-486-1101
Practice Address - Fax:402-486-4342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NENOT REQUIRED261QM0801X, 261QM0850X, 261QM0855X
NESATC232261QM1300X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE85234OtherBLUE CROSS / BLUE SHIELD
NE10026395300Medicaid
NE10026316000Medicaid
NE271526OtherMIDLAND'S CHOICE
NE10026316000Medicaid