Healthcare Provider Details

I. General information

NPI: 1861117921
Provider Name (Legal Business Name): SAIRA SARWAR PLMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2022
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7130 S 29TH ST STE G
LINCOLN NE
68516-5841
US

IV. Provider business mailing address

1340 F ST APT 102
LINCOLN NE
68508-3383
US

V. Phone/Fax

Practice location:
  • Phone: 402-413-6537
  • Fax:
Mailing address:
  • Phone: 713-992-4079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13038
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: