Healthcare Provider Details

I. General information

NPI: 1194633438
Provider Name (Legal Business Name): AMBER FAITH MILLARD PLMHP, PCMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E MILITARY AVE STE 212
FREMONT NE
68025-5433
US

IV. Provider business mailing address

3159 CHERRYWOOD DR
FREMONT NE
68025-6291
US

V. Phone/Fax

Practice location:
  • Phone: 402-719-8635
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15095
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: