| Proud Mental Health Llc | |
|
1309 Coffeen Ave # 19118 Sheridan WY 82801-5777 | |
| (657) 229-5479 | |
| Not Available |
| Full Name | Proud Mental Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1309 Coffeen Ave # 19118, Sheridan, Wyoming |
| Authorized Official Name and Position | Jonathan Wayne Shaw (OWNER/CEO) |
| Authorized Official Contact | 6572295479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proud Mental Health Llc 1309 Coffeen Ave # 19118 Sheridan WY 82801-5777 Ph: () - | Proud Mental Health Llc 1309 Coffeen Ave # 19118 Sheridan WY 82801-5777 Ph: (657) 229-5479 |
| NPI Number | 1093661241 |
|---|---|
| Provider Enumeration Date | 03/09/2026 |
| Last Update Date | 03/09/2026 |
| Certification Date | 03/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093661241 | NPI | - | NPPES |
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