| Elisabeth Krause | |
|
65 N, Granier Ave Atlantic City WY 82520 | |
| (307) 462-9597 | |
| Not Available |
| Full Name | Elisabeth Krause |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 65 N, Granier Ave, Atlantic City, Wyoming |
| Authorized Official Name and Position | Elizabeth P Krause (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 3074629597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth Krause 65 N, Granier Ave Atlantic City WY 82520 Ph: (307) 462-9597 | Elisabeth Krause 65 N, Granier Ave Atlantic City WY 82520 Ph: (307) 462-9597 |
| NPI Number | 1346792298 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346792298 | NPI | - | NPPES |
| 142138700 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LPC-1217 (Wyoming) | Primary |