MEDICARE: MRS. HANNAH R REILLY MS, LIMHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	1301	NE

General Provider Information

NPI Number	:	1215295076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HANNAH R REILLY MS, LIMHP

Provider Business Mailing Address
First Line	:	1045 N 115TH ST STE 205
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154-4422
Country	:	US
Telephone Number	:	402-915-2585
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 N 115TH ST STE 205
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154-4422
Country	:	US
Telephone Number	:	402-915-2585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2012
Last Update Date	:	05/29/2025

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