Provider Demographics
NPI:1376024448
Name:LIZ ALLRICH COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:LIZ ALLRICH COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ALLRICH
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP, CPC
Authorized Official - Phone:904-535-8070
Mailing Address - Street 1:12560 S 80TH ST
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-4683
Mailing Address - Country:US
Mailing Address - Phone:904-535-8070
Mailing Address - Fax:
Practice Address - Street 1:535 FORTUNE DR STE 150
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-3428
Practice Address - Country:US
Practice Address - Phone:904-535-8070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5097251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health