| Kintsugi Consulting And Counseling, Llc | |
|
1949 Sugarland Dr Ste 180 Sheridan WY 82801-5720 | |
| (307) 429-2514 | |
| Not Available |
| Full Name | Kintsugi Consulting And Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1949 Sugarland Dr Ste 180, Sheridan, Wyoming |
| Authorized Official Name and Position | Misti Bybee (PRESIDENT) |
| Authorized Official Contact | 3077631526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kintsugi Consulting And Counseling, Llc 855 Absaraka St Sheridan WY 82801-5403 Ph: () - | Kintsugi Consulting And Counseling, Llc 1949 Sugarland Dr Ste 180 Sheridan WY 82801-5720 Ph: (307) 429-2514 |
| NPI Number | 1538889597 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Medicare PECOS PAC ID | 9931577418 |
|---|---|
| Medicare Enrollment ID | O20221115002579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538889597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Misti Ann Bybee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356627764 PECOS PAC ID: 0840668323 Enrollment ID: I20221115002725 |
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