Healthcare Provider Details

I. General information

NPI: 1902717341
Provider Name (Legal Business Name): HANNAH LEE HAAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11011 Q ST STE 104
OMAHA NE
68137-3700
US

IV. Provider business mailing address

7929 W CENTER RD
OMAHA NE
68124-3104
US

V. Phone/Fax

Practice location:
  • Phone: 402-342-7038
  • Fax: 402-441-8491
Mailing address:
  • Phone: 402-342-7038
  • Fax: 402-441-8491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15113
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: