Cheyenne Counseling, Llc | |
2315 Dunn Ave Ste 6 Cheyenne WY 82001-3214 | |
(307) 631-2369 | |
Not Available |
Full Name | Cheyenne Counseling, Llc |
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Speciality | Social Worker |
Location | 2315 Dunn Ave Ste 6, Cheyenne, Wyoming |
Authorized Official Name and Position | Lexie Harper-goodman (ORGANIZER) |
Authorized Official Contact | 3076312369 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cheyenne Counseling, Llc 2315 Dunn Ave Ste 6 Cheyenne WY 82001-3214 Ph: () - | Cheyenne Counseling, Llc 2315 Dunn Ave Ste 6 Cheyenne WY 82001-3214 Ph: (307) 631-2369 |
NPI Number | 1588138648 |
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Provider Enumeration Date | 01/11/2019 |
Last Update Date | 01/11/2019 |
Medicare PECOS PAC ID | 5597003962 |
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Medicare Enrollment ID | O20190208002776 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588138648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Lexie A Harper Goodman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316323140 PECOS PAC ID: 4587629472 Enrollment ID: I20041119000485 |
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