PRAIRIE OAKS MENTAL HEALTH SERVICES LLC NPI 1164702106

NPI Information

NPI: 1164702106
Provider Name: PRAIRIE OAKS MENTAL HEALTH SERVICES LLC

Other Name: PRAIRIE OAKS TRAUMA CARE CENTER

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
11329 P ST
SUITE 108
OMAHA, NE
ZIP 68137
Phone: (402) 650-1101
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PRAIRIE OAKS MENTAL HEALTH SERVICES LLC is a professional counselor in Omaha, NE. PRAIRIE OAKS MENTAL HEALTH SERVICES LLC NPI is 1164702106. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Prairie Oaks Trauma Care Center.

The provider's business location address is:

11329 P ST
SUITE 108
OMAHA, NE
ZIP 68137-315
Phone: (402) 650-1101
Fax: (402) 597-2122

The provider's authorized official is Alan Luis Hensley .
The authorized official title is Ceo and has the following contact phone number (402) 650-1101.

The enumeration date for this NPI number is 8/22/2011 and was last updated on 8/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	3925	NEBRASKA	No
2	101YP2500X	Counselor	Professional	1945	NEBRASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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