Provider Demographics
NPI:1982153516
Name:BARNES, SARAH (LPC, LMHP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:LPC, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 S 200TH ST
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-4882
Mailing Address - Country:US
Mailing Address - Phone:402-763-8403
Mailing Address - Fax:
Practice Address - Street 1:216 S 200TH ST
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-4882
Practice Address - Country:US
Practice Address - Phone:402-763-8403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2308101YM0800X
NE4806101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health