MEDICARE: DONALD JOSEPH LIESKE LIMPH, PLADC

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	10874	NE

General Provider Information

NPI Number	:	1508382102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD JOSEPH LIESKE LIMPH, PLADC

Provider Business Mailing 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	:

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	:	23-140-6734
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2017
Last Update Date	:	09/12/2025

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