| Resiliency Services. Llc | |
|
3207 Sparks Rd Ste 200 Cheyenne WY 82001-6152 | |
| (307) 998-8081 | |
| Not Available |
| Full Name | Resiliency Services. Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3207 Sparks Rd Ste 200, Cheyenne, Wyoming |
| Authorized Official Name and Position | David Fohrman (OWNER) |
| Authorized Official Contact | 3079988081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resiliency Services. Llc 3612 Mariner Ln Fort Collins CO 80525-3125 Ph: (307) 998-8081 | Resiliency Services. Llc 3207 Sparks Rd Ste 200 Cheyenne WY 82001-6152 Ph: (307) 998-8081 |
| NPI Number | 1124813266 |
|---|---|
| Provider Enumeration Date | 04/10/2025 |
| Last Update Date | 04/10/2025 |
| Certification Date | 04/10/2025 |
| Medicare PECOS PAC ID | 6901316124 |
|---|---|
| Medicare Enrollment ID | O20250606003201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124813266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | David Fohrman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962562918 PECOS PAC ID: 8325049489 Enrollment ID: I20250613003162 |
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