Provider Demographics
NPI:1750544359
Name:OBEREMBT, MONICA LYNN (BS)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:LYNN
Last Name:OBEREMBT
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:210 GATEWAY MALL
Mailing Address - Street 2:342 GREENTREE COURT
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2489
Mailing Address - Country:US
Mailing Address - Phone:402-434-2730
Mailing Address - Fax:402-434-2970
Practice Address - Street 1:210 GATEWAY MALL
Practice Address - Street 2:342 GREENTREE COURT
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2489
Practice Address - Country:US
Practice Address - Phone:402-434-2730
Practice Address - Fax:402-434-2970
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE718101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE345680000OtherMAGELLAN, FSI
NE47075636930Medicaid
NE456304000OtherMAGELLAN, FSI
NE47075636998Medicaid