Provider Demographics
NPI:1730321753
Name:CHRIS SERVICES
Entity Type:Organization
Organization Name:CHRIS SERVICES
Other - Org Name:CHRIS BEHAVIORAL HEALTH COUNSELING, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DINAH
Authorized Official - Middle Name:F
Authorized Official - Last Name:TURRENTINE-SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-502-8077
Mailing Address - Street 1:5222 N 24TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-1360
Mailing Address - Country:US
Mailing Address - Phone:402-502-8077
Mailing Address - Fax:402-502-8079
Practice Address - Street 1:5222 N 24TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-1360
Practice Address - Country:US
Practice Address - Phone:402-502-8077
Practice Address - Fax:402-502-8079
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRIS SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-06
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025736200Medicaid
NE10025613300Medicaid