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General NPI Number Information
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NPI Number | 1225828486
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Entity Type | Organization
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Legal Business Name | PRAIRIE SPRING HEALTH LLC
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Dates
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Enumeration Date | 05/10/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1901 S LINCOLN AVE
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City | YORK
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State | NE
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Zip | 68467-9406
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Country | US
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Telephone | 402-256-5867
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Fax |
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Provider Business Mailing Address
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Address Line | 4521 A STREET RD
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City | BEAVER CROSSING
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State | NE
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Zip | 68313-9444
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Country | US
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Telephone | 402-306-8764
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. ANN MARIE COLLINGHAM
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Credential | LIMHP, LPC
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Telephone | 402-803-1725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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