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Organization
SOUTHERN PSYCHIATRIC SERVICES LLC
Active
Organization
SOUTHERN PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIE HEIDELBERG PMHNP (OWNER)
(830) 264-8210
Entity
Organization
Contact information
Practice address
611 MAIN STREET, STE 4, BANDERA, TX 78003
(830) 264-8210
Mailing address
PO BOX 2624, BANDERA, TX 78003-2624
(830) 264-8210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
09/10/2026
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