Provider Demographics
NPI:1326851387
Name:LIESCHESKI, KRISTINA ELIZABETH (MA)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:ELIZABETH
Last Name:LIESCHESKI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:ELIZABETH
Other - Last Name:KONECKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:14216 DAYTON CIR STE 5
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-5566
Mailing Address - Country:US
Mailing Address - Phone:402-419-3022
Mailing Address - Fax:
Practice Address - Street 1:14216 DAYTON CIR STE 5
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-5566
Practice Address - Country:US
Practice Address - Phone:402-401-4323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14175101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health