| Combs Psychotherapy L.l.c. | |
|
1380 Ivy Ln Casper WY 82609-3070 | |
| (307) 215-4064 | |
| Not Available |
| Full Name | Combs Psychotherapy L.l.c. |
|---|---|
| Speciality | Social Worker |
| Location | 1380 Ivy Ln, Casper, Wyoming |
| Authorized Official Name and Position | Stephanie M. Combs (PSYCHOTHERAPIST / OWNER) |
| Authorized Official Contact | 3072154064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Combs Psychotherapy L.l.c. 1380 Ivy Ln Casper WY 82609-3070 Ph: (307) 215-4064 | Combs Psychotherapy L.l.c. 1380 Ivy Ln Casper WY 82609-3070 Ph: (307) 215-4064 |
| NPI Number | 1972187813 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 08/04/2021 |
| Certification Date | 07/23/2021 |
| Medicare PECOS PAC ID | 0749684215 |
|---|---|
| Medicare Enrollment ID | O20210805000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972187813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie Combs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982236030 PECOS PAC ID: 4284038753 Enrollment ID: I20210805000322 |
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