Healthcare Provider Details

I. General information

NPI: 1053291054
Provider Name (Legal Business Name): SARAH SMITH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 R ST
LINCOLN NE
68501-0010
US

IV. Provider business mailing address

2411 W C ST
LINCOLN NE
68522-1101
US

V. Phone/Fax

Practice location:
  • Phone: 402-284-0584
  • Fax: 531-350-5633
Mailing address:
  • Phone: 402-284-0584
  • Fax: 531-350-5633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SARAH L SMITH
Title or Position: OWNER
Credential:
Phone: 402-284-0584