| Mind On The Mend Llc | |
|
1989 Glendo St Casper WY 82604-3778 | |
| (307) 258-0716 | |
| Not Available |
| Full Name | Mind On The Mend Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1989 Glendo St, Casper, Wyoming |
| Authorized Official Name and Position | John Robert Marquiss (PARTNER) |
| Authorized Official Contact | 3072580716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind On The Mend Llc Po Box 2508 Mills WY 82644-2508 Ph: (307) 258-0716 | Mind On The Mend Llc 1989 Glendo St Casper WY 82604-3778 Ph: (307) 258-0716 |
| NPI Number | 1154197721 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154197721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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