Provider Demographics
NPI:1619176542
Name:SUTTER, GAIL R (LMHP)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:R
Last Name:SUTTER
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:R
Other - Last Name:STITT-SUTTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHP
Mailing Address - Street 1:101 BELVEDERE ST
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-4802
Mailing Address - Country:US
Mailing Address - Phone:402-223-3629
Mailing Address - Fax:
Practice Address - Street 1:1201 S 9TH ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-4918
Practice Address - Country:US
Practice Address - Phone:402-239-9899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1231101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health