| Mrs Misty Dawn Bruce, LPC | |
|
201 W Lakeway Rd Ste 700, Gillette, WY 82718-6346 | |
| (307) 387-9850 | |
| (307) 387-9860 |
| Full Name | Mrs Misty Dawn Bruce |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 201 W Lakeway Rd Ste 700, Gillette, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871774927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1068 (Wyoming) | Primary |
| 101YM0800X | Counselor - Mental Health | 366 (Wyoming) | Secondary |
| Entity Name | Hoskinson Health & Wellness Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376280750 PECOS PAC ID: 1153706346 Enrollment ID: O20220925000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Misty Dawn Bruce, LPC 201 W Lakeway Rd Ste 1004, Gillette, WY 82718-6349 Ph: (307) 387-9850 | Mrs Misty Dawn Bruce, LPC 201 W Lakeway Rd Ste 700, Gillette, WY 82718-6346 Ph: (307) 387-9850 |
Jean-raphael De Raoulx, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Warren Ave, Gillette, WY 82716 Phone: 307-682-2034 | |
Ms. Judeth Petersen, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-5000 Fax: 307-688-5015 | |
Jane R King, LPC Counselor Medicare: Medicare Enrolled Practice Location: 702 S Kendrick Ave, Gillette, WY 82716 Phone: 307-688-8700 | |
Tara Reed, M.A., NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 West 4-j Rd., Gillette, WY 82718 Phone: 307-682-5433 | |
Rebecca N Terry, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Warren Ave, Gillette, WY 82716 Phone: 307-682-3024 | |
Miss Stephanie Berens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 812 E 4th St, Gillette, WY 82716 Phone: 073-257-7180 Fax: 307-257-7183 | |
Ms. Sarah Leger-hayworth, LPC Counselor Medicare: Medicare Enrolled Practice Location: 801 E 4th St Ste 9, Gillette, WY 82716 Phone: 307-257-2290 |