Healthcare Provider Details

I. General information

NPI: 1346059391
Provider Name (Legal Business Name): NYAREAK GATWECH PECH PLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2025
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13831 INDUSTRIAL RD
OMAHA NE
68137-1117
US

IV. Provider business mailing address

13831 INDUSTRIAL RD
OMAHA NE
68137-1117
US

V. Phone/Fax

Practice location:
  • Phone: 531-999-1133
  • Fax:
Mailing address:
  • Phone: 531-999-1133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP-2266
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: