| Mindful Authenticity, Llc | |
|
3360 Road 12 Greybull WY 82426-9624 | |
| (702) 791-1179 | |
| (970) 837-3401 |
| Full Name | Mindful Authenticity, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3360 Road 12, Greybull, Wyoming |
| Authorized Official Name and Position | Sandra Ornelas (BILLING SPECIALIST) |
| Authorized Official Contact | 9702791187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Authenticity, Llc 1163 Belleview Dr Fort Collins CO 80526-3840 Ph: (307) 213-9484 | Mindful Authenticity, Llc 3360 Road 12 Greybull WY 82426-9624 Ph: (702) 791-1179 |
| NPI Number | 1487373056 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487373056 | NPI | - | NPPES |
Mindful Authenticity, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3360 Road 12, Greybull, WY 82426 Phone: 970-279-1117 Fax: 970-837-3401 |