Provider Demographics
NPI:1184267593
Name:O'BRIEN, LEAH K (LIMHP)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:K
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:K
Other - Last Name:HARMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LIMHP
Mailing Address - Street 1:10605 BURT CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2059
Mailing Address - Country:US
Mailing Address - Phone:402-440-9168
Mailing Address - Fax:
Practice Address - Street 1:10605 BURT CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2059
Practice Address - Country:US
Practice Address - Phone:402-440-9168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA107086101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health