Organization
PROFESSIONAL MENTAL HEALTH SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOLAINE LYNN EDWARDS LCSW (MANAGER)
(402) 562-7099
Entity
Organization
Contact information
Practice address
3314 26TH ST, SUITE D, COLUMBUS, NE 68601-2304
(402) 562-7099
Mailing address
5 ROBIN LN, COLUMBUS, NE 68601-6200
(402) 562-7099
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1541
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025626600
—
NE
Enumeration date
05/05/2008
Last updated
05/05/2008
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