Provider Demographics
NPI:1619344389
Name:O'MALLEY, HANNAH JO GRAWE (LMHP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:JO GRAWE
Last Name:O'MALLEY
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:JO
Other - Last Name:GRAWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2406 FOWLER AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-2013
Mailing Address - Country:US
Mailing Address - Phone:402-453-5656
Mailing Address - Fax:
Practice Address - Street 1:2406 FOWLER AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-2013
Practice Address - Country:US
Practice Address - Phone:402-453-5656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10632101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor