Provider Demographics
NPI:1619019866
Name:HAMMRICH HAGA, NICHOL ANN (LIMHP, LMHP, LPC)
Entity type:Individual
Prefix:
First Name:NICHOL
Middle Name:ANN
Last Name:HAMMRICH HAGA
Suffix:
Gender:F
Credentials:LIMHP, LMHP, LPC
Other - Prefix:
Other - First Name:NICHOL
Other - Middle Name:ANN
Other - Last Name:NEUHARTH HAMMRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:809 S 174TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-3540
Mailing Address - Country:US
Mailing Address - Phone:402-991-8093
Mailing Address - Fax:402-505-9726
Practice Address - Street 1:809 S 174TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-3540
Practice Address - Country:US
Practice Address - Phone:402-991-8093
Practice Address - Fax:402-505-9726
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1447101YP2500X
NE2720101YM0800X
NE1012101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional