Provider Demographics
NPI:1699130062
Name:SASS, CAMILLE (LIMHP)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:
Last Name:SASS
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 190TH ST
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:NE
Mailing Address - Zip Code:68347-1708
Mailing Address - Country:US
Mailing Address - Phone:402-540-3755
Mailing Address - Fax:
Practice Address - Street 1:620 N 48TH ST STE 202
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-3466
Practice Address - Country:US
Practice Address - Phone:402-540-3755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-29
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional