Provider Demographics
NPI:1861714040
Name:BRAUN, DIANE KAY (LIMHP, LMHP, LADC)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:KAY
Last Name:BRAUN
Suffix:
Gender:F
Credentials:LIMHP, LMHP, LADC
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:KAY
Other - Last Name:KIRKWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8031 W CENTER RD STE 322
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-3134
Mailing Address - Country:US
Mailing Address - Phone:402-980-7600
Mailing Address - Fax:402-391-3521
Practice Address - Street 1:8031 W CENTER RD STE 322
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3134
Practice Address - Country:US
Practice Address - Phone:402-980-7600
Practice Address - Fax:402-391-3521
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9066101YM0800X
NE1017101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health