Healthcare Provider Details

I. General information

NPI: 1225828486
Provider Name (Legal Business Name): PRAIRIE SPRING HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2025
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N LINCOLN AVE STE D2
YORK NE
68467-1743
US

IV. Provider business mailing address

4521 A STREET RD
BEAVER CROSSING NE
68313-9444
US

V. Phone/Fax

Practice location:
  • Phone: 402-256-5867
  • Fax:
Mailing address:
  • Phone: 402-306-8764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. ANN MARIE COLLINGHAM
Title or Position: CEO
Credential: LIMHP, LPC
Phone: 402-803-1725