307 Health Llc | |
709 9th St Wheatland WY 82201-2915 | |
(307) 689-6361 | |
Not Available |
Full Name | 307 Health Llc |
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Speciality | Counselor |
Location | 709 9th St, Wheatland, Wyoming |
Authorized Official Name and Position | Chelsea Olson (OWNER) |
Authorized Official Contact | 3076896361 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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307 Health Llc 709 9th St Wheatland WY 82201-2915 Ph: (307) 689-6361 | 307 Health Llc 709 9th St Wheatland WY 82201-2915 Ph: (307) 689-6361 |
NPI Number | 1447036850 |
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Provider Enumeration Date | 09/01/2023 |
Last Update Date | 09/01/2023 |
Certification Date | 09/01/2023 |
Medicare PECOS PAC ID | 1850748666 |
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Medicare Enrollment ID | O20231115001752 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447036850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Sarah J Locke |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932561214 PECOS PAC ID: 4688625437 Enrollment ID: I20050209000363 |
Provider Name | Chelsea J Olson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1003181686 PECOS PAC ID: 7012364854 Enrollment ID: I20231220001699 |
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