Healthcare Provider Details
I. General information
NPI: 1841727740
Provider Name (Legal Business Name): SARAH HIGH PLMHP,PMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/23/2017
Last Update Date: 05/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11515 S 39TH ST STE 300
BELLEVUE NE
68123-5206
US
IV. Provider business mailing address
124 S 24TH ST STE 230
OMAHA NE
68102-1226
US
V. Phone/Fax
- Phone: 402-292-9105
- Fax: 402-292-0342
- Phone: 877-518-1070
- Fax: 402-591-5075
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: