Organization
PRAIRIE OAKS MENTAL HEALTH SERVICES LLC
Active
Other names
Prairie Oaks Trauma Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN LUIS HENSLEY PHD (CEO)
(402) 650-1101
Entity
Organization
Contact information
Practice address
11329 P ST, SUITE 108, OMAHA, NE 68137-2315
(402) 650-1101
(402) 597-2122
Mailing address
PO BOX 44, MINEOLA, IA 51554-0044
(402) 650-1101
(402) 597-2122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3925
NE
101YP2500X
Professional Counselor
Primary
1945
NE
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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