Kellie Bouldin, LPC | |
2526 Seymour Ave, Cheyenne, WY 82001 | |
(307) 634-9653 | |
Not Available |
Full Name | Kellie Bouldin |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2526 Seymour Ave, Cheyenne, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124482328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LPC-1727 (Wyoming) | Primary |
Entity Name | Hope And Healing Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801533013 PECOS PAC ID: 2264877414 Enrollment ID: O20240228001465 |
Mailing Address | Practice Location Address |
---|---|
Kellie Bouldin, LPC 2526 Seymour Ave, Cheyenne, WY 82001-3159 Ph: (307) 634-9653 | Kellie Bouldin, LPC 2526 Seymour Ave, Cheyenne, WY 82001 Ph: (307) 634-9653 |
Maelee Ann Peters, PPC-1113 Counselor Medicare: Medicare Enrolled Practice Location: 2526 Seymour Ave, Cheyenne, WY 82001 Phone: 307-634-9653 | |
Ms. Aurelia Neuda, MS LPC LAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2526 Seymour Ave, Cheyenne, WY 82001 Phone: 307-634-9653 Fax: 307-638-8256 | |
Shaundra K Drysdale, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4025 Rawlins St, Cheyenne, WY 82001 Phone: 307-426-4797 | |
Linnaea Despain Sutphin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 E 17th St Ste 210, Cheyenne, WY 82001 Phone: 307-996-7964 | |
Dr. David Harold Birney, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 W 29th St, Cheyenne, WY 82001 Phone: 307-426-4724 | |
Becky Marie Lauridsen, PPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4025 Rawlins St, Cheyenne, WY 82001 Phone: 307-426-4798 Fax: 307-426-4799 | |
Andree Bergeron, PAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2526 Seymour Ave, Cheyenne, WY 82001 Phone: 307-634-9653 |