Pine Lake Behavioral Health, Llc.
Clinic/center
9100 Andermatt Drive Suite 1, Lincoln
Nebraska, 68526-0000
402-434-2730 402-434-3970
Pine Lake Behavioral Health, Llc. is a Clinic/center in Lincoln, Nebraska. It is located at 9100 Andermatt Drive Suite 1, Lincoln and it's customer support contact number is 402-434-2730. The authorized person of Pine Lake Behavioral Health, Llc. is Jared Wade Ray, LIPC, LADC who is Director Of Operations of the pharmacy and his contact number is 402-434-2730.
Pine Lake Behavioral Health, Llc. is a facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Pharmacy Details:
Pine Lake Behavioral Health, Llc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Pine Lake Behavioral Health, Llc. |
| Type: | Clinic/center |
| Location: | 9100 Andermatt Drive Suite 1, Lincoln,
Nebraska, 68526-0000 |
| Phone: | 402-434-2730 |
| Fax: | 402-434-3970 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jared Wade Ray |
| Credentials: | LIPC, LADC |
| Position: | Director Of Operations |
| Contact Number: | 402-434-2730 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1003310061 |
| NPI Enumeration Date: | 22 Mar, 2018 |
| NPI Last Update On: | 24 Feb, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pine Lake Behavioral Health, Llc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic/center | | Nebraska | Primary | |
| Mental Health (Including Community Mental Health Center) | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 10026721200 | Medicaid | Nebraska | |
| NA3283 | Other | Nebraska | Medicare Ptan |
| 10026721201 | Medicaid | Nebraska | |
| DY5949 | Other | Nebraska | Rr Medicare Ptan |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9100 Andermatt Dr Ste 1,
Lincoln, Nebraska |
| Zip: | 68526-6700 |
| Phone Number: | 402-434-2730 |
| Fax Number: | 402-434-3970 |
Patients can reach Pine Lake Behavioral Health, Llc. at
9100 Andermatt Drive Suite 1, Lincoln, Nebraska or can
call on customer care at 402-434-2730.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.