Healthcare Provider Details

I. General information

NPI: 1811102684
Provider Name (Legal Business Name): DEBARAH L HARVEY LMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E 12TH ST
NORTH PLATTE NE
69101-2365
US

IV. Provider business mailing address

124 S 24TH ST STE 230
OMAHA NE
68102-1226
US

V. Phone/Fax

Practice location:
  • Phone: 308-532-0587
  • Fax:
Mailing address:
  • Phone: 402-978-5656
  • Fax: 402-591-5075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1739
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: