Healthcare Provider Details

I. General information

NPI: 1487369914
Provider Name (Legal Business Name): HALLIE MESSERSMITH LCSW , LMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2023
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 MERIDIAN AVE
COZAD NE
69130-1753
US

IV. Provider business mailing address

830 MERIDIAN AVE
COZAD NE
69130-1753
US

V. Phone/Fax

Practice location:
  • Phone: 308-737-3051
  • Fax:
Mailing address:
  • Phone: 308-737-3051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2526
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: