| Be Herd Llc | |
|
1904 Warren Ave Cheyenne WY 82001-3730 | |
| (307) 216-4227 | |
| (307) 216-4318 |
| Full Name | Be Herd Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1904 Warren Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | David Brunick (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 3039085560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Herd Llc 1904 Warren Ave Cheyenne WY 82001-3730 Ph: (307) 216-4227 | Be Herd Llc 1904 Warren Ave Cheyenne WY 82001-3730 Ph: (307) 216-4227 |
| NPI Number | 1134981863 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/28/2024 |
| Medicare PECOS PAC ID | 4688117450 |
|---|---|
| Medicare Enrollment ID | O20240621000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134981863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Randall Alan Basden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831311760 PECOS PAC ID: 3375991714 Enrollment ID: I20231127001120 |
| Provider Name | David R Brunick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932506607 PECOS PAC ID: 1456793447 Enrollment ID: I20240529001245 |
| Provider Name | Allyson Bishop Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932420569 PECOS PAC ID: 5597208363 Enrollment ID: I20240628003053 |
| Provider Name | Sarah Elizabeth Isaack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790189165 PECOS PAC ID: 8527506799 Enrollment ID: I20240819003778 |
| Provider Name | Joshua R Phelps |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811315997 PECOS PAC ID: 7214477421 Enrollment ID: I20240913001505 |
| Provider Name | John F Stinebaugh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326470071 PECOS PAC ID: 9739610619 Enrollment ID: I20241002002531 |
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