| Living Positively On Purpose Pc | |
|
601 Randall Ave Cheyenne WY 82001-2746 | |
| (307) 287-7847 | |
| Not Available |
| Full Name | Living Positively On Purpose Pc |
|---|---|
| Speciality | Counselor |
| Location | 601 Randall Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | Deborah D Cockreham (REGISTERED AGENT) |
| Authorized Official Contact | 3072877847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Positively On Purpose Pc 507 E 18th St Cheyenne WY 82001-4617 Ph: (307) 287-7847 | Living Positively On Purpose Pc 601 Randall Ave Cheyenne WY 82001-2746 Ph: (307) 287-7847 |
| NPI Number | 1508180217 |
|---|---|
| Provider Enumeration Date | 03/24/2010 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Medicare PECOS PAC ID | 0840723045 |
|---|---|
| Medicare Enrollment ID | O20241025003581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508180217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC787 (Wyoming) | Primary |
| Provider Name | Deborah Diane Cockreham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649436288 PECOS PAC ID: 1759814957 Enrollment ID: I20241025003651 |
Mindfully Reconnect Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2321 Dunn Ave, Cheyenne, WY 82001 Phone: 307-640-1008 | |
Rescare Wyoming, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6215 Clear Creek Pkwy, Cheyenne, WY 82007 Phone: 307-432-9824 | |
Kw Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 Pioneer Ave, Cheyenne, WY 82001 Phone: 970-315-2375 Fax: 844-965-9818 | |
2.0 Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2321 Dunn Ave, Cheyenne, WY 82001 Phone: 307-316-2757 Fax: 307-316-8811 | |
Kerry Collins, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 S Greeley Hwy Ste A, Cheyenne, WY 82007 Phone: 307-287-2971 | |
Gloria D Rutt Psyd Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 Coulter Drive, Cheyenne, WY 82009 Phone: 307-286-4106 Fax: 307-632-6588 | |
Speak Life Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1816 E 17th St, Cheyenne, WY 82001 Phone: 307-426-4204 |