Provider Demographics
NPI:1457079311
Name:MAPLE CREEK COUNSELING LLC
Entity Type:Organization
Organization Name:MAPLE CREEK COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MADISON
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:EUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-916-0906
Mailing Address - Street 1:11635 ARBOR ST STE 230
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-5000
Mailing Address - Country:US
Mailing Address - Phone:402-916-0906
Mailing Address - Fax:402-500-3852
Practice Address - Street 1:11635 ARBOR ST STE 230
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-5000
Practice Address - Country:US
Practice Address - Phone:402-916-0906
Practice Address - Fax:402-500-3852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty