Provider Demographics
NPI:1730666140
Name:BARRETT, BREANNA RENEE (LIMHP)
Entity type:Individual
Prefix:
First Name:BREANNA
Middle Name:RENEE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 W WILLIAM AVE # 100
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-0026
Mailing Address - Country:US
Mailing Address - Phone:308-568-3580
Mailing Address - Fax:308-568-3509
Practice Address - Street 1:625 W WILLIAM AVE # 100
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-0026
Practice Address - Country:US
Practice Address - Phone:308-568-3580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-27
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3233101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health