| Emotional Wellness Counseling Llc | |
|
6548 Boot Hill Rd Casper WY 82604-9303 | |
| (307) 267-1681 | |
| Not Available |
| Full Name | Emotional Wellness Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6548 Boot Hill Rd, Casper, Wyoming |
| Authorized Official Name and Position | Tammy Lynn Michael (OWNER) |
| Authorized Official Contact | 3072671681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emotional Wellness Counseling Llc 6548 Boot Hill Rd Casper WY 82604-9303 Ph: (307) 267-1681 | Emotional Wellness Counseling Llc 6548 Boot Hill Rd Casper WY 82604-9303 Ph: (307) 267-1681 |
| NPI Number | 1043743388 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 04/08/2017 |
| Medicare PECOS PAC ID | 2365719630 |
|---|---|
| Medicare Enrollment ID | O20170517002446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043743388 | NPI | - | NPPES |
| 1194266833 | Other | WY | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-1038 (Wyoming) | Primary |
| Provider Name | Tammy Lynn Michael |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194266833 PECOS PAC ID: 3274800545 Enrollment ID: I20170517002536 |
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