Provider Demographics
NPI:1245025857
Name:SADIE RENANDER COUNSELING LLC
Entity type:Organization
Organization Name:SADIE RENANDER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SADIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RENANDER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP
Authorized Official - Phone:402-871-8239
Mailing Address - Street 1:2619 N 191ST AVE
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-2933
Mailing Address - Country:US
Mailing Address - Phone:402-871-8239
Mailing Address - Fax:
Practice Address - Street 1:8790 F ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1524
Practice Address - Country:US
Practice Address - Phone:402-915-1118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty