Healthcare Provider Details

I. General information

NPI: 1164853339
Provider Name (Legal Business Name): LINDA K. PAUGELS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2013
Last Update Date: 05/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 S 16TH ST STE 420
LINCOLN NE
68502-3796
US

IV. Provider business mailing address

3543 S 75TH ST
LINCOLN NE
68506-4608
US

V. Phone/Fax

Practice location:
  • Phone: 402-474-2500
  • Fax: 844-269-6853
Mailing address:
  • Phone: 402-474-2500
  • Fax: 844-269-6853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: LINDA KAY PAUGELS
Title or Position: MENTAL HEALTH PROFESSIONAL/OWNER
Credential: PC LACD, LIMHP
Phone: 402-474-2500