Healthcare Provider Details

I. General information

NPI: 1942543228
Provider Name (Legal Business Name): SARAH GRACE WALGREN LIMHP, LMFT, CPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH GABREILRAMOS

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3802 AVENUE B
SCOTTSBLUFF NE
69361-4653
US

IV. Provider business mailing address

3208 AVE B.
SCOTTSBLUFF NE
69361-3177
US

V. Phone/Fax

Practice location:
  • Phone: 308-635-2800
  • Fax: 308-251-6608
Mailing address:
  • Phone: 308-635-2800
  • Fax: 308-251-6608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2476
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number188
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2041
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number99188
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: