Provider Demographics
NPI:1972683282
Name:CYCLETHERAPY COUNSELING SERVICES PC
Entity Type:Organization
Organization Name:CYCLETHERAPY COUNSELING SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:BLESSING
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHP, LPC
Authorized Official - Phone:308-785-2064
Mailing Address - Street 1:42534 HIGHWAY 23
Mailing Address - Street 2:
Mailing Address - City:ELWOOD
Mailing Address - State:NE
Mailing Address - Zip Code:68937-5632
Mailing Address - Country:US
Mailing Address - Phone:308-785-2064
Mailing Address - Fax:
Practice Address - Street 1:42534 HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:ELWOOD
Practice Address - State:NE
Practice Address - Zip Code:68937-5632
Practice Address - Country:US
Practice Address - Phone:308-785-2064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1742101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE50770434026Medicaid
NE50770434027Medicaid
NE24151OtherMIDLANDS CHOICE
NE84238OtherBLUE CROSS/BS