Provider Demographics
NPI:1619040862
Name:URBAUER, HOLLIE J (MA,LMHP, LADC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:HOLLIE
Middle Name:J
Last Name:URBAUER
Suffix:
Gender:F
Credentials:MA,LMHP, LADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5561 S 48TH ST STE 201I
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4133
Mailing Address - Country:US
Mailing Address - Phone:402-310-8323
Mailing Address - Fax:
Practice Address - Street 1:5561 S 48TH ST STE 201I
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4133
Practice Address - Country:US
Practice Address - Phone:402-310-8323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11019101YM0800X
NE776101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1528006103Medicaid
NE47057655277Medicaid