| Your Service Animal Llc | |
|
1095 Sugarview Dr Ste 100 Sheridan WY 82801-5386 | |
| (307) 429-4563 | |
| Not Available |
| Full Name | Your Service Animal Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1095 Sugarview Dr Ste 100, Sheridan, Wyoming |
| Authorized Official Name and Position | Nicholas Harper Jordan (FOUNDER) |
| Authorized Official Contact | 2064148461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Service Animal Llc 1095 Sugarview Dr Ste 100 Sheridan WY 82801-5386 Ph: (307) 429-4563 | Your Service Animal Llc 1095 Sugarview Dr Ste 100 Sheridan WY 82801-5386 Ph: (307) 429-4563 |
| NPI Number | 1750195178 |
|---|---|
| Provider Enumeration Date | 02/05/2025 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750195178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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