| Hiraeth Therapy, Llc | |
|
4915 Nimmo Dr Cheyenne WY 82009-4808 | |
| (307) 331-8993 | |
| Not Available |
| Full Name | Hiraeth Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4915 Nimmo Dr, Cheyenne, Wyoming |
| Authorized Official Name and Position | Roxann Adrian Shook (OWNER) |
| Authorized Official Contact | 3073318993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hiraeth Therapy, Llc 4915 Nimmo Dr Cheyenne WY 82009-4808 Ph: (307) 331-8993 | Hiraeth Therapy, Llc 4915 Nimmo Dr Cheyenne WY 82009-4808 Ph: (307) 331-8993 |
| NPI Number | 1811763949 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811763949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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