Provider Demographics
NPI:1235424664
Name:BERNHARDT, SARAH J (LIMHP, LMHP, LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:BERNHARDT
Suffix:
Gender:F
Credentials:LIMHP, LMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-1970
Mailing Address - Country:US
Mailing Address - Phone:308-632-8084
Mailing Address - Fax:308-630-0821
Practice Address - Street 1:2208 BROADWAY
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-1970
Practice Address - Country:US
Practice Address - Phone:308-632-8084
Practice Address - Fax:308-630-0821
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3895101YM0800X
NE1929101YP2500X
NE1202101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional