Provider Demographics
NPI:1952418741
Name:BARTLETT, SARAH (MA, LMHP, LIMHP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:MA, LMHP, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-1608
Mailing Address - Country:US
Mailing Address - Phone:308-633-2845
Mailing Address - Fax:308-633-2847
Practice Address - Street 1:2626 BROADWAY
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-1608
Practice Address - Country:US
Practice Address - Phone:308-633-2845
Practice Address - Fax:308-633-2847
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3221101YM0800X
NE1152101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47051963312Medicaid
NE10025900300Medicaid
NE10025941300Medicaid
NE98190OtherBLUE CROSS BLUE SHIELD