| Counseling Coalition, Llc | |
|
801 E 4th St Ste 9 Gillette WY 82716-4061 | |
| (307) 257-2290 | |
| (877) 341-0234 |
| Full Name | Counseling Coalition, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 E 4th St Ste 9, Gillette, Wyoming |
| Authorized Official Name and Position | Sarah Louise Hayworth (OWNER) |
| Authorized Official Contact | 9702172969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Coalition, Llc Po Box 7243 Gillette WY 82717-7243 Ph: (970) 217-2969 | Counseling Coalition, Llc 801 E 4th St Ste 9 Gillette WY 82716-4061 Ph: (307) 257-2290 |
| NPI Number | 1255184396 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 03/17/2025 |
| Certification Date | 03/17/2025 |
| Medicare PECOS PAC ID | 3971030859 |
|---|---|
| Medicare Enrollment ID | O20241217003579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255184396 | NPI | - | NPPES |
| Provider Name | Sarah Leger-hayworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063816411 PECOS PAC ID: 6406383389 Enrollment ID: I20241218003057 |
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