# SOUTHERN PSYCHIATRIC SERVICES LLC

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

## Provider details

- **NPI number:** 1700465432
- **Authorized official:** JEANIE HEIDELBERG PMHNP (OWNER)
- **Authorized official phone:** (830) 264-8210

## Contact information

- **Practice address:** 611 MAIN STREET, STE 4, BANDERA, TX 78003
- **Practice address phone:** (830) 264-8210
- **Mailing address:** PO BOX 2624, BANDERA, TX 78003-2624
- **Mailing address phone:** (830) 264-8210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2021
- **Last updated:** 09/10/2026