Provider Demographics
NPI:1235545021
Name:INNER REFLECTIONS COUNSELING CENTER
Entity Type:Organization
Organization Name:INNER REFLECTIONS COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SPRING
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LANDFRIED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-221-6902
Mailing Address - Street 1:109 E 2ND ST STE 10
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-5474
Mailing Address - Country:US
Mailing Address - Phone:308-221-6902
Mailing Address - Fax:
Practice Address - Street 1:109 E 2ND ST STE 10
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-5474
Practice Address - Country:US
Practice Address - Phone:308-221-6902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-1115101YA0400X
NE9870101YM0800X
NE9520101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty