Healthcare Provider Details

I. General information

NPI: 1609626126
Provider Name (Legal Business Name): SARA HULINSKY PLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2337 N WEBB RD
GRAND ISLAND NE
68803-1743
US

IV. Provider business mailing address

2337 N WEBB RD
GRAND ISLAND NE
68803-1743
US

V. Phone/Fax

Practice location:
  • Phone: 308-384-4405
  • Fax: 308-339-0962
Mailing address:
  • Phone: 308-384-4405
  • Fax: 308-339-0962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP-2005
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: