| Fortis Therapy Llc | |
|
1949 Sugarland Dr Ste 221 Sheridan WY 82801-5766 | |
| (307) 675-1275 | |
| (307) 675-1276 |
| Full Name | Fortis Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1949 Sugarland Dr Ste 221, Sheridan, Wyoming |
| Authorized Official Name and Position | Andi K Bell (PROVIDER/OWNER) |
| Authorized Official Contact | 3076751275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortis Therapy Llc 1949 Sugarland Dr Ste 221 Sheridan WY 82801-5766 Ph: (307) 675-1275 | Fortis Therapy Llc 1949 Sugarland Dr Ste 221 Sheridan WY 82801-5766 Ph: (307) 675-1275 |
| NPI Number | 1629575253 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 04/10/2018 |
| Medicare PECOS PAC ID | 6507266749 |
|---|---|
| Medicare Enrollment ID | O20210610000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629575253 | NPI | - | NPPES |
| 130795900 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | LCSW (Wyoming) | Primary |
| Provider Name | Andi K Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366698292 PECOS PAC ID: 9436225133 Enrollment ID: I20080903000578 |
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