Provider Demographics
NPI:1659520294
Name:SCOTT, SHERYL (LIMHP)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:
Last Name:SCOTT
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 1:912 N 148TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-1919
Mailing Address - Country:US
Mailing Address - Phone:402-689-2876
Mailing Address - Fax:
Practice Address - Street 1:10824 OLD MILL RD STE 21
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2642
Practice Address - Country:US
Practice Address - Phone:402-330-6060
Practice Address - Fax:402-330-6108
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NE959101YA0400X
NE3824101YM0800X
NE1232101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)