NPI Code Details Logo

NPI 1487194296

NPI 1487194296 : KING BEHAVIORAL HEALTH, LLC : LINCOLN, NE

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1487194296
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    KING BEHAVIORAL HEALTH, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/27/2017
-----------------------------------------------------
    Last Update Date     |    08/28/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4535 NORMAL BLVD STE 212 
-----------------------------------------------------
    City                 |    LINCOLN
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68506-2891
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    402-413-6537
-----------------------------------------------------
    Fax                  |    402-975-2408
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4535 NORMAL BLVD STE 212 
-----------------------------------------------------
    City                 |    LINCOLN
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68506-2891
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    402-413-6537
-----------------------------------------------------
    Fax                  |    402-975-2408
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PSYCHOLOGIST
-----------------------------------------------------
    Name                 |    DR. SARAH  KING 
-----------------------------------------------------
    Credential           |    PH.D.
-----------------------------------------------------
    Telephone            |    402-413-6537
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103T00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychologist
-----------------------------------------------------
    License Number       |    914
-----------------------------------------------------
    License Number State |    NE
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.