Healthcare Provider Details

I. General information

NPI: 1407572001
Provider Name (Legal Business Name): SAPPHIRE COUNSELING AND ASSESSMENTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2022
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 PLANTATION DR STE 100
LINCOLN NE
68516-5199
US

IV. Provider business mailing address

3400 PLANTATION DR STE 100
LINCOLN NE
68516-5199
US

V. Phone/Fax

Practice location:
  • Phone: 402-429-3911
  • Fax:
Mailing address:
  • Phone: 402-429-3911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: SHELLEY BALDASSANO
Title or Position: MANAGER/OWNER/THERAPIST
Credential: LIMHP, LADC
Phone: 402-429-3911