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Organization

RANDY L ERVIN LLC

Active
Other names
Starwood Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDY LEE ERVIN PSY.D. (CLINICAL PSYCHOLOGIST/ADMINISTRATOR)
(316) 230-7900
Entity
Organization

Contact information

Practice address
727 N LINCOLN AVE STE 1, YORK, NE 68467-2948
(316) 230-7900
Mailing address
PO BOX 473, YORK, NE 68467-0473
(316) 230-7900

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
11/11/2024
Last updated
11/12/2024
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