Provider Demographics
NPI:1215361357
Name:WILEY, BARBARA ANNE (LMHP, CPC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANNE
Last Name:WILEY
Suffix:
Gender:F
Credentials:LMHP, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 S 125TH AVE
Mailing Address - Street 2:281
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-3872
Mailing Address - Country:US
Mailing Address - Phone:402-533-3459
Mailing Address - Fax:
Practice Address - Street 1:2809 S 125TH AVE
Practice Address - Street 2:281
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-3872
Practice Address - Country:US
Practice Address - Phone:402-533-3459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1651101YM0800X
NE1000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health