Healthcare Provider Details
I. General information
NPI: 1619808938
Provider Name (Legal Business Name): SWEET PEA COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7070 BINNEY ST
OMAHA NE
68104-3149
US
IV. Provider business mailing address
7070 BINNEY ST
OMAHA NE
68104-3149
US
V. Phone/Fax
- Phone: 402-538-8194
- Fax:
- Phone: 402-538-8194
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAMANTHA
ANN
DEHNER
Title or Position: OWNER
Credential: LICSW, LCSW, LIMHP
Phone: 402-885-0033