Provider Demographics
NPI:1831639590
Name:THREATS, DEB (PLADC)
Entity Type:Individual
Prefix:
First Name:DEB
Middle Name:
Last Name:THREATS
Suffix:
Gender:F
Credentials:PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-1057
Mailing Address - Country:US
Mailing Address - Phone:402-405-4617
Mailing Address - Fax:
Practice Address - Street 1:4719 PRESCOTT AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5456
Practice Address - Country:US
Practice Address - Phone:402-413-9147
Practice Address - Fax:402-261-7149
Is Sole Proprietor?:No
Enumeration Date:2017-02-28
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE101YA0400X
NEP-1927101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)