| Halcyon Counseling | |
|
2622 Pioneer Ave Cheyenne WY 82001-3024 | |
| (307) 287-7685 | |
| (307) 248-5600 |
| Full Name | Halcyon Counseling |
|---|---|
| Speciality | Counselor |
| Location | 2622 Pioneer Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | Stacey Marie Lane (CEO) |
| Authorized Official Contact | 3072877685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halcyon Counseling 2622 Pioneer Ave Cheyenne WY 82001-3024 Ph: (307) 287-7685 | Halcyon Counseling 2622 Pioneer Ave Cheyenne WY 82001-3024 Ph: (307) 287-7685 |
| NPI Number | 1346844701 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Medicare PECOS PAC ID | 1153771951 |
|---|---|
| Medicare Enrollment ID | O20231220000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346844701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Stacey Marie Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457691883 PECOS PAC ID: 4082975248 Enrollment ID: I20231220000236 |
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