Healthcare Provider Details
I. General information
NPI: 1548549728
Provider Name (Legal Business Name): RASHA RAMAKRISHNAN LIMPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/05/2011
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12110 PORT GRACE BLVD STE 101
LA VISTA NE
68128-3190
US
IV. Provider business mailing address
12110 PORT GRACE BLVD STE 101
LA VISTA NE
68128-3190
US
V. Phone/Fax
- Phone: 402-645-0038
- Fax: 402-925-3936
- Phone: 402-645-0038
- Fax: 402-925-3936
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | P-995 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 882 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: