Healthcare Provider Details

I. General information

NPI: 1700718806
Provider Name (Legal Business Name): SAMANTHA HELLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9802 NICHOLAS ST STE 305
OMAHA NE
68114-2106
US

IV. Provider business mailing address

1329 S 133RD ST
OMAHA NE
68144-1201
US

V. Phone/Fax

Practice location:
  • Phone: 402-915-3798
  • Fax:
Mailing address:
  • Phone: 402-660-9488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14952
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: