Organization
FAMILY NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAYE MINDT LONG LIMHP, LCSW (SOLE PROPRIETOR)
(308) 382-8085
Entity
Organization
Contact information
Practice address
1811 W 2ND ST, SUITE 330, GRAND ISLAND, NE 68803-5413
(308) 382-8085
(308) 382-2582
Mailing address
1811 W 2ND ST, SUITE 330, GRAND ISLAND, NE 68803-5413
(308) 382-8085
(308) 382-2582
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
320,787, AND 511
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026098900
—
NE
01
—
260662
PTAN MDCR (ORIGINAL)
NE
Enumeration date
01/18/2012
Last updated
01/18/2012
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