Provider Demographics
NPI:1144451436
Name:SCHULTZ, TIMOTHY SCOTT (LMHP, LADC)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:SCOTT
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:LMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 W LEON DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-3765
Mailing Address - Country:US
Mailing Address - Phone:402-304-4978
Mailing Address - Fax:
Practice Address - Street 1:4719 PRESCOTT AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5456
Practice Address - Country:US
Practice Address - Phone:402-413-9147
Practice Address - Fax:402-261-7149
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE993101YA0400X
NE4326101YM0800X, 101YM0800X
101YA0400X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health