Healthcare Provider Details

I. General information

NPI: 1508382102
Provider Name (Legal Business Name): DONALD JOSEPH LIESKE LIMPH, PLADC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2017
Last Update Date: 09/12/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 E B ST
NORTH PLATTE NE
69101-4049
US

IV. Provider business mailing address

410 E B ST
NORTH PLATTE NE
69101-4049
US

V. Phone/Fax

Practice location:
  • Phone: 23-140-6734
  • Fax:
Mailing address:
  • Phone: 402-314-0673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10874
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: