Mindful Authenticity, Llc | |
3360 Road 12 Greybull WY 82426-9624 | |
(702) 791-1179 | |
(970) 837-3401 |
Full Name | Mindful Authenticity, Llc |
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Speciality | Counselor - Professional |
Location | 3360 Road 12, Greybull, Wyoming |
Authorized Official Name and Position | Sandra Ornelas (BILLING SPECIALIST) |
Authorized Official Contact | 9702791187 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mindful Authenticity, Llc 1163 Belleview Dr Fort Collins CO 80526-3840 Ph: (307) 213-9484 | Mindful Authenticity, Llc 3360 Road 12 Greybull WY 82426-9624 Ph: (702) 791-1179 |
NPI Number | 1487373056 |
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Provider Enumeration Date | 08/25/2022 |
Last Update Date | 08/07/2024 |
Certification Date | 08/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487373056 | NPI | - | NPPES |
Mindful Authenticity, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3360 Road 12, Greybull, WY 82426 Phone: 970-279-1117 Fax: 970-837-3401 |