1881801546 NPI number — HEATHER BINNS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881801546 NPI number — HEATHER BINNS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEATHER BINNS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SANDHILLS COUNSELING CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881801546
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1015 HUDSON AVE.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALLIANCE
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
69301-2759
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
308-762-2956
Provider Business Mailing Address Fax Number:
308-762-3733

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1015 HUDSON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLIANCE
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
69301-2759
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
308-762-2956
Provider Business Practice Location Address Fax Number:
308-762-3733
Provider Enumeration Date:
05/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BINNS
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
FLORENCE
Authorized Official Title or Position:
OWNER AND MENTAL HEALTH THERAPIST
Authorized Official Telephone Number:
308-762-2956

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  422 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 101YP2500X , with the licence number: 426 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 85268 . This is a "BLUE CROSS PROV #" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 10025231700 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




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