| Big Horn Basis Mental Health Group | |
|
1054 Vali Rd Powell WY 82435-9259 | |
| (307) 754-3860 | |
| Not Available |
| Full Name | Big Horn Basis Mental Health Group |
|---|---|
| Speciality | Psychologist |
| Location | 1054 Vali Rd, Powell, Wyoming |
| Authorized Official Name and Position | Gibson B Condie (PRESIDENT) |
| Authorized Official Contact | 3077543860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Horn Basis Mental Health Group 1054 Vali Rd Powell WY 82435-9259 Ph: (307) 754-3860 | Big Horn Basis Mental Health Group 1054 Vali Rd Powell WY 82435-9259 Ph: (307) 754-3860 |
| NPI Number | 1760609937 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760609937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | #SP04 (Wyoming) | Primary |
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