Robert Shipp, | |
265 N 4th St, Laramie, WY 82072-3131 | |
(307) 240-9377 | |
Not Available |
Full Name | Robert Shipp |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 265 N 4th St, Laramie, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245710797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC-2134 (Wyoming) | Primary |
Entity Name | Overcomer Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023741766 PECOS PAC ID: 7517317688 Enrollment ID: O20240102002682 |
Mailing Address | Practice Location Address |
---|---|
Robert Shipp, 4989 N 3rd St, Laramie, WY 82072-9548 Ph: (307) 745-8997 | Robert Shipp, 265 N 4th St, Laramie, WY 82072-3131 Ph: (307) 240-9377 |
Jacquelyn Ralph, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1575 N 4th St Ste 103, Laramie, WY 82072 Phone: 307-721-0700 | |
Gail Ford, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1263 N 15th St, Laramie, WY 82072 Phone: 307-745-8915 | |
Karen Brooke Glahn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Mitchell St, Laramie, WY 82072 Phone: 801-400-4409 | |
Lois Kline, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1277 N 15th St, Laramie, WY 82072 Phone: 307-742-2181 | |
Samantha S Cowper, MA PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1263 N 15th St, Laramie, WY 82072 Phone: 307-745-8915 Fax: 307-745-8761 | |
Jenna Hepp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1575 N 4th St Ste 103, Laramie, WY 82072 Phone: 307-721-0700 | |
Brittany Bares, M.ED, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Grand Ave, Laramie, WY 82070 Phone: 419-494-3204 |