Healthcare Provider Details

I. General information

NPI: 1174453195
Provider Name (Legal Business Name): ZACHARY PAULEY PLMHP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8333 CASS ST
OMAHA NE
68114-3529
US

IV. Provider business mailing address

7327 LEAWOOD CIR
PAPILLION NE
68046-4307
US

V. Phone/Fax

Practice location:
  • Phone: 402-940-7387
  • Fax: 402-702-0583
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14921
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: