Provider Demographics
NPI:1285479394
Name:VEHABOVIC, NIKOLA (MA, PLMHP)
Entity type:Individual
Prefix:
First Name:NIKOLA
Middle Name:
Last Name:VEHABOVIC
Suffix:
Gender:X
Credentials:MA, PLMHP
Other - Prefix:
Other - First Name:EMELA
Other - Middle Name:
Other - Last Name:MESIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, PLMHP
Mailing Address - Street 1:4920 S 30TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-1590
Mailing Address - Country:US
Mailing Address - Phone:402-734-4110
Mailing Address - Fax:
Practice Address - Street 1:2520 S 130TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2527
Practice Address - Country:US
Practice Address - Phone:402-769-7077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-29
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13925101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health