Provider Demographics
NPI:1225828486
Name:PRAIRIE SPRING HEALTH LLC
Entity type:Organization
Organization Name:PRAIRIE SPRING HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COLLINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, LPC
Authorized Official - Phone:402-803-1725
Mailing Address - Street 1:4521 A STREET RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER CROSSING
Mailing Address - State:NE
Mailing Address - Zip Code:68313-9444
Mailing Address - Country:US
Mailing Address - Phone:402-306-8764
Mailing Address - Fax:
Practice Address - Street 1:1901 S LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-9406
Practice Address - Country:US
Practice Address - Phone:402-256-5867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-10
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)