Provider Demographics
NPI:1306838461
Name:ANDERSON, BARBARA ANNE (LMHP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 SHANNON ROAD
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-2112
Mailing Address - Country:US
Mailing Address - Phone:402-339-8894
Mailing Address - Fax:
Practice Address - Street 1:7110 F ST
Practice Address - Street 2:HEARTLAND FAMILY SERVICE
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68117
Practice Address - Country:US
Practice Address - Phone:402-595-1073
Practice Address - Fax:402-595-2021
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1198101Y00000X
NELMHP 2095101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health