Provider Demographics
NPI:1366067068
Name:ALTERNATIVE AVENUES & ASSOCIATES
Entity type:Organization
Organization Name:ALTERNATIVE AVENUES & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:EBERLE
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:402-440-5094
Mailing Address - Street 1:4740 A ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4824
Mailing Address - Country:US
Mailing Address - Phone:402-440-5094
Mailing Address - Fax:402-615-6750
Practice Address - Street 1:4740 A ST STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4824
Practice Address - Country:US
Practice Address - Phone:402-440-5094
Practice Address - Fax:402-615-6750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty