MEDICARE: MRS. SARAH ELIZABETH FRUEHLING M.A., LIMHP, AT-R

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	1660	NE
2	101YM0800X	Mental Health Counselor	350	NE
3	101YP2500X	Professional Counselor	1006	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	084997	OTHER	NE	BLUE CROSS BLUE SHIELD
2	9812	OTHER	NE	MIDLANDS CHOICE

General Provider Information

NPI Number	:	1679621429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH ELIZABETH FRUEHLING M.A., LIMHP, AT-R

Provider Business Mailing Address
First Line	:	223 E 14TH ST STE 3
Second Line	:
City	:	HASTINGS
State	:	NE
Zip	:	68901-3240
Country	:	US
Telephone Number	:	402-463-3640
Fax Number	:	402-463-3677

Provider Business Practice Location Address
First Line	:	223 E 14TH ST STE 3
Second Line	:
City	:	HASTINGS
State	:	NE
Zip	:	68901-3240
Country	:	US
Telephone Number	:	402-463-3640
Fax Number	:	402-463-3677

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	03/25/2011

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