Healthcare Provider Details

I. General information

NPI: 1710813951
Provider Name (Legal Business Name): MIND ALIGN'D LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11819 MIRACLE HILLS DR STE 203
OMAHA NE
68154-4428
US

IV. Provider business mailing address

11819 MIRACLE HILLS DR STE 203
OMAHA NE
68154-4428
US

V. Phone/Fax

Practice location:
  • Phone: 402-414-4131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LINDSEY BOUKAL
Title or Position: PMHNP-BC
Credential: BOUKAL
Phone: 402-707-3506