Provider Demographics
NPI:1154397917
Name:HOLOUBECK, VICKI L (LMHP)
Entity type:Individual
Prefix:MS
First Name:VICKI
Middle Name:L
Last Name:HOLOUBECK
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:
Other - Last Name:HOLOUBECK ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 GALVIN RD N
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005
Mailing Address - Country:US
Mailing Address - Phone:402-292-7712
Mailing Address - Fax:402-292-0144
Practice Address - Street 1:205 GALVIN RD N
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005
Practice Address - Country:US
Practice Address - Phone:402-292-7712
Practice Address - Fax:402-292-0144
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE755101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE470832U7826Medicaid