Provider Demographics
NPI:1205144565
Name:O'NEILL, DANIEL JAMES (PLMHP)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JAMES
Last Name:O'NEILL
Suffix:
Gender:M
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 N 126TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-3904
Mailing Address - Country:US
Mailing Address - Phone:402-496-2765
Mailing Address - Fax:
Practice Address - Street 1:1413 S WASHINGTON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-4165
Practice Address - Country:US
Practice Address - Phone:402-939-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9077101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health