Organization
ABIDE IN HOPE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA KAY WALLACE L.I.M.H.P. (OWNER/THERAPIST)
(308) 221-2141
Entity
Organization
Contact information
Practice address
518 S JEFFERS ST STE 7, NORTH PLATTE, NE 69101-5370
(308) 221-2141
Mailing address
518 S JEFFERS ST STE 7, NORTH PLATTE, NE 69101-5370
(308) 221-2141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
583
NE
106H00000X
Marriage & Family Therapist
Primary
265
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025851600
—
NE
Enumeration date
05/13/2010
Last updated
05/13/2010
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