| Life Strategy Center | |
|
1949 Sugarland Dr Suite 218 Sheridan WY 82801-5755 | |
| (307) 674-8686 | |
| (307) 674-1825 |
| Full Name | Life Strategy Center |
|---|---|
| Speciality | Psychologist |
| Location | 1949 Sugarland Dr, Sheridan, Wyoming |
| Authorized Official Name and Position | Charles D Shipley (CO-OWNER/COUNSELOR) |
| Authorized Official Contact | 3076748686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Strategy Center Po Box 7035 Sheridan WY 82801-7001 Ph: (307) 674-8686 | Life Strategy Center 1949 Sugarland Dr Suite 218 Sheridan WY 82801-5755 Ph: (307) 674-8686 |
| NPI Number | 1770718033 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 04/22/2015 |
| Medicare PECOS PAC ID | 2860710472 |
|---|---|
| Medicare Enrollment ID | O20150410001971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770718033 | NPI | - | NPPES |
| Provider Name | Kim Ripley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538479209 PECOS PAC ID: 2961721931 Enrollment ID: I20150425000287 |
| Provider Name | James W Wyssmann |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1063695419 PECOS PAC ID: 2961715776 Enrollment ID: I20150723007041 |
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