Healthcare Provider Details

I. General information

NPI: 1629972096
Provider Name (Legal Business Name): LIANG O'BRIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 THEATRE DR STE 101B
HASTINGS NE
68901-4593
US

IV. Provider business mailing address

905 THEATRE DR STE 101B
HASTINGS NE
68901-4593
US

V. Phone/Fax

Practice location:
  • Phone: 402-673-6208
  • Fax:
Mailing address:
  • Phone: 402-673-6208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15148
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8449
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: