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Organization
PROFESSIONAL MENTAL HEALTH SERVICES, L.L.C.
Active
Organization
PROFESSIONAL MENTAL HEALTH SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOLAINE LYNN EDWARDS LCSW (MANAGER)
(402) 562-7099
Entity
Organization
Contact information
Practice address
3314 26TH ST, SUITE D, COLUMBUS, NE 68601-2304
(402) 562-7099
Mailing address
5 ROBIN LN, COLUMBUS, NE 68601-6200
(402) 562-7099
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1541
NE
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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