Individual
PAUL GREENWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIMHP
Contact information
Practice address
919 GALVIN RD S STE A, BELLEVUE, NE 68005-2207
(402) 618-5314
Mailing address
2911 KELLY DR, BELLEVUE, NE 68123-2761
(402) 618-5314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1075
NE
101YM0800X
Mental Health Counselor
1861
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47082303526
—
NE
Enumeration date
04/22/2008
Last updated
11/28/2023
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