Provider Demographics
NPI:1346868114
Name:BLUE SKY COUNSELING LLC
Entity Type:Organization
Organization Name:BLUE SKY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELING
Authorized Official - Prefix:
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:SPRING
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:402-714-0360
Mailing Address - Street 1:16766 M CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68135-1314
Mailing Address - Country:US
Mailing Address - Phone:402-714-0360
Mailing Address - Fax:
Practice Address - Street 1:16766 M CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68135-1314
Practice Address - Country:US
Practice Address - Phone:402-714-0360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty