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Organization
HINES PSYCHOTHERAPY SERVICES, INC.
Active
Organization
HINES PSYCHOTHERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J. HINES MSW (PRESIDENT)
(402) 412-2000
Entity
Organization
Contact information
Practice address
3900 DAKOTA AVE STE 4A, SOUTH SIOUX CITY, NE 68776-3696
(402) 412-2000
(402) 412-2001
Mailing address
3900 DAKOTA AVE STE 4A, SOUTH SIOUX CITY, NE 68776-3696
(402) 412-2000
(402) 412-2001
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2541 (MHP)
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6570263
—
SD
01
—
82575
BCBS
—
Enumeration date
11/06/2007
Last updated
11/11/2011
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