Provider Demographics
NPI:1679601157
Name:AHMED, PAULEY (MS, LMHP)
Entity Type:Individual
Prefix:
First Name:PAULEY
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:MS, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5561 S 48TH ST
Mailing Address - Street 2:SUITE 201H
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4109
Mailing Address - Country:US
Mailing Address - Phone:402-525-1696
Mailing Address - Fax:402-420-0696
Practice Address - Street 1:5561 S 48TH ST
Practice Address - Street 2:SUITE 201H
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4109
Practice Address - Country:US
Practice Address - Phone:402-525-1696
Practice Address - Fax:402-420-0696
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1413101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE232823OtherMIDLANDSCHOICE
NE10025795200Medicaid
NE82337OtherBLUE CROSS