Heather Marie Busselman | Omaha, NE • PECOS Search

Heather Marie Busselman

Counselor

Behavioral Health & Social Service Providers

11212 Davenport, Omaha, NE 68154

(402) 963-9699 (402) 965-3948

PECOS Enrollment

Based on the most recent information from CMS, provider Heather Marie Busselman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:51 AM.

Profile Details

Provider ID
1902991037
Provider Type
Individual
Full Name
Busselman, Heather Marie
Title
Mrs.
Credential
MS

Gender
Female
Sole Proprietor
No
Enumeration Date
10/4/2006
Last Updated
7/8/2007

Contact Information

Practice Location

11212 Davenport, Omaha, NE 68154

(402) 552-7016

Mailing Location

2624 N 112th Avenue, Omaha, NE 68164

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 8132 Nebraska