Healthcare Provider Details

I. General information

NPI: 1841282928
Provider Name (Legal Business Name): SUZANNE BARRETT-MCCLENDON LIMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11404 W DODGE RD STE 300
OMAHA NE
68154-9603
US

IV. Provider business mailing address

84 S PLATTE AVE
FREMONT NE
68025-5750
US

V. Phone/Fax

Practice location:
  • Phone: 402-889-1113
  • Fax:
Mailing address:
  • Phone: 402-727-1636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1461
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number409
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: