Healthcare Provider Details

I. General information

NPI: 1689589541
Provider Name (Legal Business Name): ANGELA M HUSSMAN PLMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8550 INDIAN HILLS DR
OMAHA NE
68114-4070
US

IV. Provider business mailing address

PO BOX 24607
OMAHA NE
68124-0607
US

V. Phone/Fax

Practice location:
  • Phone: 402-955-3900
  • Fax: 402-955-3920
Mailing address:
  • Phone: 402-955-5400
  • Fax: 402-955-3674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14162
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: