| Cheyenne Counseling, Llc | |
|
2315 Dunn Ave Ste 6 Cheyenne WY 82001-3214 | |
| (307) 631-2369 | |
| Not Available |
| Full Name | Cheyenne Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2315 Dunn Ave Ste 6, Cheyenne, Wyoming |
| Authorized Official Name and Position | Lexie Harper-goodman (ORGANIZER) |
| Authorized Official Contact | 3076312369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheyenne Counseling, Llc 2315 Dunn Ave Ste 6 Cheyenne WY 82001-3214 Ph: () - | Cheyenne Counseling, Llc 2315 Dunn Ave Ste 6 Cheyenne WY 82001-3214 Ph: (307) 631-2369 |
| NPI Number | 1588138648 |
|---|---|
| Provider Enumeration Date | 01/11/2019 |
| Last Update Date | 01/11/2019 |
| Medicare PECOS PAC ID | 5597003962 |
|---|---|
| Medicare Enrollment ID | O20190208002776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588138648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lexie A Harper Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316323140 PECOS PAC ID: 4587629472 Enrollment ID: I20041119000485 |
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