Provider Demographics
NPI:1144362641
Name:RITTERBUSH, DANA HELEN (LIMHP, LADC)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:HELEN
Last Name:RITTERBUSH
Suffix:
Gender:F
Credentials:LIMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11204 DAVENPORT ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2658
Mailing Address - Country:US
Mailing Address - Phone:402-630-9164
Mailing Address - Fax:
Practice Address - Street 1:11204 DAVENPORT ST STE 200
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2658
Practice Address - Country:US
Practice Address - Phone:402-630-9164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE668101YM0800X
NE1113101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)