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General NPI Number Information
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NPI Number | 1255475802
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Entity Type | Individual
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Provider Name | SARA BETH LAUTENSCHLAGER MSW, LMHP, LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 207 N PINE ST SUITE # 106
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City | GRAND ISLAND
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State | NE
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Zip | 68801-5900
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Country | US
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Telephone | 308-379-4179
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Fax |
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Provider Business Mailing Address
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Address Line | 845 N KANSAS AVE
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City | HASTINGS
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State | NE
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Zip | 68901-4470
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Country | US
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Telephone | 402-461-0355
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3030
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1198
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License Number State | NE
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