Healthcare Provider Details

I. General information

NPI: 1659719474
Provider Name (Legal Business Name): SHANNA ELIZABETH MUHR MA, LIMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHANNA ROSENTRATER

II. Dates (important events)

Enumeration Date: 06/14/2013
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1604 SWEETWATER AVE
ALLIANCE NE
69301-2672
US

IV. Provider business mailing address

1016 LARAMIE AVE
ALLIANCE NE
69301-2534
US

V. Phone/Fax

Practice location:
  • Phone: 308-762-4331
  • Fax:
Mailing address:
  • Phone: 308-760-9776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4591
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9932
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3437
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: