Provider Demographics
NPI:1932487543
Name:IN GOOD COUNSEL, LLC
Entity Type:Organization
Organization Name:IN GOOD COUNSEL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:EASTERLY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP
Authorized Official - Phone:308-254-1114
Mailing Address - Street 1:2245 ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162-1440
Mailing Address - Country:US
Mailing Address - Phone:308-254-1114
Mailing Address - Fax:308-254-1110
Practice Address - Street 1:2245 ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-1440
Practice Address - Country:US
Practice Address - Phone:308-254-1114
Practice Address - Fax:308-254-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-31
Last Update Date:2011-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3036101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty