Provider Demographics
NPI:1679621429
Name:FRUEHLING, SARAH ELIZABETH (MA, LIMHP, AT-R)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:FRUEHLING
Suffix:
Gender:F
Credentials:MA, LIMHP, AT-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 E 14TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-3240
Mailing Address - Country:US
Mailing Address - Phone:402-463-3640
Mailing Address - Fax:402-463-3677
Practice Address - Street 1:223 E 14TH ST STE 3
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-3240
Practice Address - Country:US
Practice Address - Phone:402-463-3640
Practice Address - Fax:402-463-3677
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1660101YM0800X
NE350101YM0800X
NE1006101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE084997OtherBLUE CROSS BLUE SHIELD
NE9812OtherMIDLANDS CHOICE