Healthcare Provider Details
I. General information
NPI: 1437530730
Provider Name (Legal Business Name): SEAN ROBERTS LIMHP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/11/2015
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9684 W CHERRY RD
DE WITT NE
68341-4139
US
IV. Provider business mailing address
9684 W CHERRY RD
DE WITT NE
68341-4139
US
V. Phone/Fax
- Phone: 402-480-3008
- Fax:
- Phone: 402-480-3008
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 1621 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: