Provider Demographics
NPI:1801481551
Name:DIRECTIONS COUNSELING CENTER P.C.
Entity type:Organization
Organization Name:DIRECTIONS COUNSELING CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ANTONS
Authorized Official - Suffix:
Authorized Official - Credentials:PLHMP, PLADC, CDGC
Authorized Official - Phone:402-239-7844
Mailing Address - Street 1:10157 E LILAC RD
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-7404
Mailing Address - Country:US
Mailing Address - Phone:402-239-7844
Mailing Address - Fax:
Practice Address - Street 1:110 S 6TH ST STE 221
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-3912
Practice Address - Country:US
Practice Address - Phone:402-239-7844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty