Provider Demographics
NPI:1447600069
Name:ALABASTER COUNSELING
Entity Type:Organization
Organization Name:ALABASTER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:LIESKE
Authorized Official - Suffix:
Authorized Official - Credentials:MA PLMHP
Authorized Official - Phone:308-532-0083
Mailing Address - Street 1:1300 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-4393
Mailing Address - Country:US
Mailing Address - Phone:308-532-0083
Mailing Address - Fax:
Practice Address - Street 1:1300 E 4TH ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-4393
Practice Address - Country:US
Practice Address - Phone:308-532-0083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10874251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health