Provider Demographics
NPI:1780364943
Name:SANCHEZ RAMIREZ, ROMAN (PLMHP, PCMSW)
Entity type:Individual
Prefix:
First Name:ROMAN
Middle Name:
Last Name:SANCHEZ RAMIREZ
Suffix:
Gender:M
Credentials:PLMHP, PCMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 GALVIN RD N
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-4898
Mailing Address - Country:US
Mailing Address - Phone:402-807-5117
Mailing Address - Fax:402-513-7731
Practice Address - Street 1:207 GALVIN RD N
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-4898
Practice Address - Country:US
Practice Address - Phone:402-807-5117
Practice Address - Fax:402-513-7731
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE78741041C0700X
NE13464101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical