Provider Demographics
NPI:1285766907
Name:SATHER, AMY SUZANNE (MS, LIMHP, LPC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:SUZANNE
Last Name:SATHER
Suffix:
Gender:F
Credentials:MS, LIMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-1159
Mailing Address - Country:US
Mailing Address - Phone:402-426-5116
Mailing Address - Fax:
Practice Address - Street 1:403 S 16TH ST
Practice Address - Street 2:STE. B
Practice Address - City:BLAIR
Practice Address - State:NE
Practice Address - Zip Code:68008-2057
Practice Address - Country:US
Practice Address - Phone:402-427-4638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE428101YM0800X
NE1660101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025086700Medicaid