Provider Demographics
NPI:1932516192
Name:OPEN DOOR COUNSELING LLC
Entity Type:Organization
Organization Name:OPEN DOOR COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RANEY
Authorized Official - Suffix:
Authorized Official - Credentials:ADC, LADC, PLMHP
Authorized Official - Phone:308-225-4335
Mailing Address - Street 1:1517 BROADWAY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-3184
Mailing Address - Country:US
Mailing Address - Phone:308-225-4335
Mailing Address - Fax:308-633-2020
Practice Address - Street 1:1517 BROADWAY
Practice Address - Street 2:SUITE 110
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-3184
Practice Address - Country:US
Practice Address - Phone:308-225-4335
Practice Address - Fax:308-633-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9689101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1912253394OtherPERSONAL NPI