Provider Demographics
NPI:1306286042
Name:SHEFFIELD, CAROL ANN (LIMHP, LADC)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:LIMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 GALVIN RD S STE A
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-2207
Mailing Address - Country:US
Mailing Address - Phone:402-670-9108
Mailing Address - Fax:402-625-0664
Practice Address - Street 1:919 GALVIN RD S STE A
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2207
Practice Address - Country:US
Practice Address - Phone:402-670-9108
Practice Address - Fax:402-625-0664
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1110101YA0400X
NE1744101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)