Healthcare Provider Details

I. General information

NPI: 1205361672
Provider Name (Legal Business Name): SUNNY LAMBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5561 S 48TH ST STE 201E
LINCOLN NE
68516-4133
US

IV. Provider business mailing address

5561 S 48TH ST STE 201E
LINCOLN NE
68516-4133
US

V. Phone/Fax

Practice location:
  • Phone: 402-853-1086
  • Fax: 531-500-4573
Mailing address:
  • Phone: 402-853-1086
  • Fax: 531-500-4573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2528
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: