Provider Demographics
NPI:1942662606
Name:GRINBERG, ARICK (LIMHP)
Entity Type:Individual
Prefix:
First Name:ARICK
Middle Name:
Last Name:GRINBERG
Suffix:
Gender:M
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20324 VETERANS DR STE 104
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-3552
Mailing Address - Country:US
Mailing Address - Phone:402-933-5700
Mailing Address - Fax:402-933-9998
Practice Address - Street 1:20324 VETERANS DR STE 104
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-3552
Practice Address - Country:US
Practice Address - Phone:402-933-5700
Practice Address - Fax:402-933-9998
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5022101YM0800X
NE2919101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health