# COURTNEY LIESTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396397352
- **Authorized official:** MRS. COURTNEY LIESTER MS, LMHP (THERAPIST)
- **Authorized official phone:** (402) 577-0173

## Contact information

- **Practice address:** 7905 L ST STE 410, OMAHA, NE 68127-1732
- **Practice address phone:** (402) 577-0173
- **Mailing address:** 7905 L ST STE 410, OMAHA, NE 68127-1732
- **Mailing address phone:** (402) 577-0173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2019
- **Last updated:** 07/10/2019