Provider Demographics
NPI:1982903530
Name:NURMAHOMED KLUVER, MOUBAREKA (LMHP)
Entity type:Individual
Prefix:
First Name:MOUBAREKA
Middle Name:
Last Name:NURMAHOMED KLUVER
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10832 OLD MILL RD # 1
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2672
Mailing Address - Country:US
Mailing Address - Phone:402-881-8125
Mailing Address - Fax:303-568-0455
Practice Address - Street 1:10832 OLD MILL RD # 1
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2672
Practice Address - Country:US
Practice Address - Phone:402-881-8125
Practice Address - Fax:303-568-0455
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-22
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4198101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47082303526Medicaid