| Speak Life Llc | |
|
1816 E 17th St Cheyenne WY 82001-5010 | |
| (307) 426-4204 | |
| Not Available |
| Full Name | Speak Life Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1816 E 17th St, Cheyenne, Wyoming |
| Authorized Official Name and Position | Hannah Stuart-walker (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 3074264204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Speak Life Llc 1816 E 17th St Cheyenne WY 82001-5010 Ph: (307) 426-4204 | Speak Life Llc 1816 E 17th St Cheyenne WY 82001-5010 Ph: (307) 426-4204 |
| NPI Number | 1083187405 |
|---|---|
| Provider Enumeration Date | 01/08/2019 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 3072964311 |
|---|---|
| Medicare Enrollment ID | O20240110004606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083187405 | NPI | - | NPPES |
| Provider Name | Adam Elias Stuart-walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629444351 PECOS PAC ID: 4981055225 Enrollment ID: I20240115001741 |
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