# NCC PSYCHIATRIC SERVICES PLLC

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

## Provider details

- **NPI number:** 1548736085
- **Authorized official:** NICOLE C THOMAS NP (OWNER)
- **Authorized official phone:** (712) 541-6620

## Contact information

- **Practice address:** 16507 MAHOGANY AVE, LE MARS, IA 51031-8761
- **Practice address phone:** (712) 541-6620
- **Practice address fax:** (855) 344-1082
- **Mailing address:** PO BOX 509, LE MARS, IA 51031-0509
- **Mailing address phone:** (712) 541-6620
- **Mailing address fax:** (855) 344-1082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2018
- **Last updated:** 04/11/2024