Amy Johanna Sjoholm, Llc

LBN: Amy Johanna Sjoholm, Llc
Amy Johanna Sjoholm, Llc is an health care organization with primary practice located at 3308 W Capital Ave , Grand Island NE 68803-1333. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Amy Johanna Sjoholm, Llc can be contacted via phone (402) 879-5755, or through Sjoholm, Amy Johanna via phone (402) 879-5755.

Contact Information

Primary practice address
3308 W Capital Ave Grand Island NE 68803-1333
Phone: (402) 879-5755
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sjoholm, Amy Johanna LMHP
Phone: (402) 879-5755

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4454 Nebraska

Profile Details

NPI number 1538512876
LBN Legal business name Amy Johanna Sjoholm, Llc
DBA Doing business as
Authorized official Sjoholm, Amy Johanna LMHP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2016
Last updated Jul 21st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538512876 NPPES
Nebraska MEDICAID 10026475600

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