| Foundations Counselling, Llc | |
|
1131 13th St Ste 106 Cody WY 82414-3600 | |
| (307) 578-7770 | |
| Not Available |
| Full Name | Foundations Counselling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1131 13th St Ste 106, Cody, Wyoming |
| Authorized Official Name and Position | Stacie Hensen (LPC) |
| Authorized Official Contact | 3075787770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Counselling, Llc 1131 13th St Ste 106 Cody WY 82414-3600 Ph: () - | Foundations Counselling, Llc 1131 13th St Ste 106 Cody WY 82414-3600 Ph: (307) 578-7770 |
| NPI Number | 1366195364 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Medicare PECOS PAC ID | 4981146925 |
|---|---|
| Medicare Enrollment ID | O20240606000794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366195364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Stacie R Hensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295017820 PECOS PAC ID: 5890237838 Enrollment ID: I20240606000880 |
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