Healthcare Provider Details
I. General information
NPI: 1366373573
Provider Name (Legal Business Name): SENNESETH PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5550 S 59TH ST STE 12
LINCOLN NE
68516-2398
US
IV. Provider business mailing address
5550 S 59TH ST STE 12
LINCOLN NE
68516-2398
US
V. Phone/Fax
- Phone: 531-289-1005
- Fax: 531-289-1002
- Phone: 702-283-8382
- Fax: 531-289-1002
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
ERICA
RENE'
SCHROEDER
Title or Position: MANAGING MEMBER
Credential: LIMHP. CPC, CCTP
Phone: 702-283-8382