Provider Demographics
NPI:1376009357
Name:BARRETT, SYDNEY (LIMHP)
Entity Type:Individual
Prefix:MS
First Name:SYDNEY
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9008 QUEST ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-5227
Mailing Address - Country:US
Mailing Address - Phone:402-310-6596
Mailing Address - Fax:
Practice Address - Street 1:9008 QUEST ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-5227
Practice Address - Country:US
Practice Address - Phone:402-310-6596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-14
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11741101YM0800X
IA111480101YM0800X
NE2485101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health