# PRAIRIE OAKS MENTAL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prairie Oaks Trauma Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164702106
- **Authorized official:** DR. ALAN LUIS HENSLEY PHD (CEO)
- **Authorized official phone:** (402) 650-1101

## Contact information

- **Practice address:** 11329 P ST, SUITE 108, OMAHA, NE 68137-2315
- **Practice address phone:** (402) 650-1101
- **Practice address fax:** (402) 597-2122
- **Mailing address:** PO BOX 44, MINEOLA, IA 51554-0044
- **Mailing address phone:** (402) 650-1101
- **Mailing address fax:** (402) 597-2122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 3925 | NE | — |
| 101YP2500X | Professional Counselor | 1945 | NE | Yes |

## Other

- **Enumeration date:** 08/22/2011
- **Last updated:** 08/22/2011