| Mourning Dove Grief Care Llc | |
|
245 S Fenway St Casper WY 82601-3026 | |
| (307) 577-4832 | |
| (307) 577-4841 |
| Full Name | Mourning Dove Grief Care Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 245 S Fenway St, Casper, Wyoming |
| Authorized Official Name and Position | Kilty Brown (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3075774832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mourning Dove Grief Care Llc 319 S Wilson St Casper WY 82601-2943 Ph: (307) 577-4832 | Mourning Dove Grief Care Llc 245 S Fenway St Casper WY 82601-3026 Ph: (307) 577-4832 |
| NPI Number | 1518800770 |
|---|---|
| Provider Enumeration Date | 04/13/2026 |
| Last Update Date | 04/13/2026 |
| Certification Date | 04/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518800770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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