Provider Demographics
NPI:1326272725
Name:MOLHMAN, MARGARET (LADC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:MOLHMAN
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:PEG
Other - Middle Name:
Other - Last Name:MOLHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LADC
Mailing Address - Street 1:1714 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-4805
Mailing Address - Country:US
Mailing Address - Phone:402-469-6386
Mailing Address - Fax:
Practice Address - Street 1:835 S BURLINGTON AVE
Practice Address - Street 2:STE. 115
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-6960
Practice Address - Country:US
Practice Address - Phone:402-462-2066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE076101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)