Provider Demographics
NPI:1790119022
Name:CHILD AND FAMILY THERAPY INSTITUTE OF NEBRASKA
Entity Type:Organization
Organization Name:CHILD AND FAMILY THERAPY INSTITUTE OF NEBRASKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:STEINBECK
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:308-520-0434
Mailing Address - Street 1:106 W D ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-5341
Mailing Address - Country:US
Mailing Address - Phone:308-520-0434
Mailing Address - Fax:
Practice Address - Street 1:106 W D ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-5341
Practice Address - Country:US
Practice Address - Phone:308-520-0434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty