Healthcare Provider Details

I. General information

NPI: 1992297329
Provider Name (Legal Business Name): CATALYST ALTERNATIVE THERAPY SOLUTIONS & LIFE COACHING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2018
Last Update Date: 12/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10320 MARY ST
OMAHA NE
68122-3015
US

IV. Provider business mailing address

10320 MARY ST
OMAHA NE
68122-3015
US

V. Phone/Fax

Practice location:
  • Phone: 402-957-4841
  • Fax:
Mailing address:
  • Phone: 402-957-4841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1266
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number276
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2276
License Number StateNE

VIII. Authorized Official

Name: MRS. ELIZABETH A STRATTON
Title or Position: OWNER
Credential: LMHP, LADC, LPC
Phone: 402-957-4841