# PRAIRIE WINDS HEALING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437838950
- **Authorized official:** LEISA ROWE (OWNER)
- **Authorized official phone:** (308) 398-6050

## Contact information

- **Practice address:** 908 N HOWARD AVE STE 102, GRAND ISLAND, NE 68803-3529
- **Practice address phone:** (308) 398-6050
- **Practice address fax:** (308) 398-6051
- **Mailing address:** 908 N HOWARD AVE STE 102, GRAND ISLAND, NE 68803-3529
- **Mailing address phone:** (308) 398-6050
- **Mailing address fax:** (308) 398-6051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |

## Other

- **Enumeration date:** 07/12/2023
- **Last updated:** 07/12/2023