Healthcare Provider Details

I. General information

NPI: 1265602155
Provider Name (Legal Business Name): SARAH R. WILCH LIMHP, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11605 MIRACLE HILLS DR STE 300
OMAHA NE
68154-4467
US

IV. Provider business mailing address

1028 S 38TH ST
OMAHA NE
68105-1821
US

V. Phone/Fax

Practice location:
  • Phone: 402-238-1431
  • Fax: 402-281-1862
Mailing address:
  • Phone: 402-203-8607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number773
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1334
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: