| Changeabout Concepts Llc | |
|
1507 Carey Ave Ste 3 Cheyenne WY 82001-4484 | |
| (307) 514-9744 | |
| Not Available |
| Full Name | Changeabout Concepts Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1507 Carey Ave Ste 3, Cheyenne, Wyoming |
| Authorized Official Name and Position | Wesley Hartman (CEO) |
| Authorized Official Contact | 3075149744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changeabout Concepts Llc 1507 Carey Ave Ste 3 Cheyenne WY 82001-4484 Ph: () - | Changeabout Concepts Llc 1507 Carey Ave Ste 3 Cheyenne WY 82001-4484 Ph: (307) 514-9744 |
| NPI Number | 1225543374 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 04/13/2020 |
| Certification Date | 04/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225543374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1622 (Wyoming) | Primary |
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