| Mountain West Mental Health | |
|
1300 E A St Ste 201 Casper WY 82601-2252 | |
| (307) 235-3333 | |
| Not Available |
| Full Name | Mountain West Mental Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1300 E A St Ste 201, Casper, Wyoming |
| Authorized Official Name and Position | Shane Harkins (OWNER) |
| Authorized Official Contact | 3072353333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain West Mental Health 3580 Valley Rd Casper WY 82604-4906 Ph: (307) 267-1792 | Mountain West Mental Health 1300 E A St Ste 201 Casper WY 82601-2252 Ph: (307) 235-3333 |
| NPI Number | 1891333126 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 08/02/2022 |
| Certification Date | 08/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891333126 | NPI | - | NPPES |
| 135466300 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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