Provider Demographics
NPI:1487964151
Name:GOBEL, CARRIE (LIMHP, LCSW)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:GOBEL
Suffix:
Gender:F
Credentials:LIMHP, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9140 W DODGE RD STE 414
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3317
Mailing Address - Country:US
Mailing Address - Phone:402-953-6322
Mailing Address - Fax:
Practice Address - Street 1:9140 W DODGE RD STE 414
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3317
Practice Address - Country:US
Practice Address - Phone:402-953-6322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1376101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health