MEDICARE: ALABASTER THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1386594661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALABASTER THERAPY LLC

Provider Business Mailing Address
First Line	:	1402 LEE CT
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-6329
Country	:	US
Telephone Number	:	402-314-0673
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 E B ST
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-4049
Country	:	US
Telephone Number	:	402-314-0673
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	DONALD J LIESKE
Credential	:	LIMHP, LADC
Telephone Number	:	402-314-0673

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “ALABASTER THERAPY LLC ” Practice Location

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