Provider Demographics
NPI:1932373966
Name:DUHACHEK-CHASE, HEATHER JO (MS, LIMHP)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:JO
Last Name:DUHACHEK-CHASE
Suffix:
Gender:F
Credentials:MS, LIMHP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:JO DUHACHEK
Other - Last Name:MOODY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PLMHP
Mailing Address - Street 1:6677 SORENSEN PARKWAY
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152
Mailing Address - Country:US
Mailing Address - Phone:402-932-8884
Mailing Address - Fax:402-932-8885
Practice Address - Street 1:6681 SORENSEN PKWY
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68152-2139
Practice Address - Country:US
Practice Address - Phone:402-932-8884
Practice Address - Fax:402-932-8885
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1078101YM0800X
NE101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47082303526Medicaid
NE098905Medicare PIN