Provider Demographics
NPI:1114549094
Name:SMOOTH SAILING LLC
Entity Type:Organization
Organization Name:SMOOTH SAILING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP LCSW
Authorized Official - Phone:402-421-3814
Mailing Address - Street 1:2900 S 70TH ST STE 160
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-3733
Mailing Address - Country:US
Mailing Address - Phone:402-304-0403
Mailing Address - Fax:402-477-8278
Practice Address - Street 1:2900 S 70TH ST STE 160
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-3733
Practice Address - Country:US
Practice Address - Phone:402-304-0403
Practice Address - Fax:402-477-8278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty