Provider Demographics
NPI:1457881476
Name:JARZYNKA-SCHMIGEL, AMBER ROCHELLE (PLMHP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:ROCHELLE
Last Name:JARZYNKA-SCHMIGEL
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 PATRICIA DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-2922
Mailing Address - Country:US
Mailing Address - Phone:402-938-7788
Mailing Address - Fax:
Practice Address - Street 1:965 PATRICIA DR
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-2922
Practice Address - Country:US
Practice Address - Phone:402-938-7788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11192101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health