| Atlas Therapy Llc | |
|
542 Running W Dr Gillette WY 82718-2074 | |
| (307) 257-2331 | |
| Not Available |
| Full Name | Atlas Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 542 Running W Dr, Gillette, Wyoming |
| Authorized Official Name and Position | Troy Alan Akins (CO-OWNER/FOUNDER) |
| Authorized Official Contact | 7405020497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Therapy Llc 100 Warren Ave Gillette WY 82716-3728 Ph: (307) 682-2034 | Atlas Therapy Llc 542 Running W Dr Gillette WY 82718-2074 Ph: (307) 257-2331 |
| NPI Number | 1073028494 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 7315274883 |
|---|---|
| Medicare Enrollment ID | O20190806002496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073028494 | NPI | - | NPPES |
| 148975500 | Medicaid | WY | |
| 1073028494 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Wyoming) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | Jeanne L Rugg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760152896 PECOS PAC ID: 5496194573 Enrollment ID: I20240423000630 |
| Provider Name | Brianne Wooldridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366868150 PECOS PAC ID: 2264872167 Enrollment ID: I20240425001442 |
| Provider Name | Amy Darlene Weber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679047922 PECOS PAC ID: 4880034982 Enrollment ID: I20240506001460 |
| Provider Name | Amanda Forister |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063914869 PECOS PAC ID: 3779810247 Enrollment ID: I20240509001878 |
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