Healthcare Provider Details

I. General information

NPI: 1174037121
Provider Name (Legal Business Name): ANNE VRBKA LMHP, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2017
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 S 86TH ST
LINCOLN NE
68526-9262
US

IV. Provider business mailing address

4545 S 86TH ST
LINCOLN NE
68526-9262
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-6990
  • Fax: 402-483-7045
Mailing address:
  • Phone: 402-483-6990
  • Fax: 402-483-6990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1070
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4407
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: