Healthcare Provider Details

I. General information

NPI: 1023572112
Provider Name (Legal Business Name): JULIA ZUKAITIS LIMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2019
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 N COLORADO AVE
FREMONT NE
68025-2286
US

IV. Provider business mailing address

2320 N COLORADO AVE
FREMONT NE
68025-2286
US

V. Phone/Fax

Practice location:
  • Phone: 402-721-7710
  • Fax:
Mailing address:
  • Phone: 402-721-7710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3511
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: