| Solutions For Life | |
|
1841 Madora Ave Douglas WY 82633-3057 | |
| (307) 358-2846 | |
| (307) 358-5329 |
| Full Name | Solutions For Life |
|---|---|
| Speciality | Clinic/Center |
| Location | 1841 Madora Ave, Douglas, Wyoming |
| Authorized Official Name and Position | Peggy Hayes (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3073582846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solutions For Life 1841 Madora Ave Douglas WY 82633-3057 Ph: (307) 358-2846 | Solutions For Life 1841 Madora Ave Douglas WY 82633-3057 Ph: (307) 358-2846 |
| NPI Number | 1225003023 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 02/26/2019 |
| Medicare PECOS PAC ID | 5698730612 |
|---|---|
| Medicare Enrollment ID | O20041201000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225003023 | NPI | - | NPPES |
| 106402904 | Medicaid | WY | |
| 106402900 | Medicaid | WY | |
| 106402903 | Medicaid | WY | |
| 106402905 | Medicaid | WY | |
| 106402908 | Medicaid | WY | |
| 106402907 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | CERTIFIED (Wyoming) | Primary |
| Provider Name | Hope E Phelon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023163391 PECOS PAC ID: 7618019290 Enrollment ID: I20100120000218 |
| Provider Name | Frank Delreal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043422900 PECOS PAC ID: 4789837832 Enrollment ID: I20130123000535 |
| Provider Name | Aleece Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306878913 PECOS PAC ID: 0840293098 Enrollment ID: I20130610000419 |
| Provider Name | Nichole M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871062349 PECOS PAC ID: 2365788155 Enrollment ID: I20190116000643 |
| Provider Name | Jayme R Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447863626 PECOS PAC ID: 8527478080 Enrollment ID: I20201112000432 |
Barrett Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 261 Brownfield Rd, Douglas, WY 82633 Phone: 307-358-3056 Fax: 307-358-3057 | |
All Inclusive Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 N 6th St Ste A, Douglas, WY 82633 Phone: 307-242-1472 Fax: 307-624-6254 | |
New Beginnings Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 E Center St, Douglas, WY 82633 Phone: 307-358-0909 | |
The Grant House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 S 4th St, Douglas, WY 82633 Phone: 307-359-9210 | |
Leilani Ray Cullen Ma Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 N 6th St Ste A, Douglas, WY 82633 Phone: 307-242-1472 Fax: 307-624-6254 |