Provider Demographics
NPI:1821157744
Name:CRINER, DARLA (MSHS, LIMHP)
Entity Type:Individual
Prefix:MS
First Name:DARLA
Middle Name:
Last Name:CRINER
Suffix:
Gender:F
Credentials:MSHS, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16020 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-1337
Mailing Address - Country:US
Mailing Address - Phone:402-598-3343
Mailing Address - Fax:
Practice Address - Street 1:16020 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-1337
Practice Address - Country:US
Practice Address - Phone:402-813-1125
Practice Address - Fax:402-614-8916
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE897101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health