# CHIMNEY ROCK PSYCHOLOGICAL HEALTH

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

## Provider details

- **NPI number:** 1841080272
- **Authorized official:** TRENT HANSEN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (702) 898-5311

## Contact information

- **Practice address:** 6209 S 211TH ST, ELKHORN, NE 68022-4133
- **Practice address phone:** (702) 898-5311
- **Mailing address:** 6311 AMES AVE UNIT 195, OMAHA, NE 68104-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2025
- **Last updated:** 05/08/2025