| Moonstone Wellness Llc | |
|
217 E Grand Ave Unit 2 Laramie WY 82070-3604 | |
| (307) 638-0300 | |
| (307) 638-0394 |
| Full Name | Moonstone Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 217 E Grand Ave Unit 2, Laramie, Wyoming |
| Authorized Official Name and Position | Lindsay Stoffers (OWNER) |
| Authorized Official Contact | 3073990788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonstone Wellness Llc Po Box 2417 Cheyenne WY 82003-2417 Ph: (307) 638-0300 | Moonstone Wellness Llc 217 E Grand Ave Unit 2 Laramie WY 82070-3604 Ph: (307) 638-0300 |
| NPI Number | 1184290199 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 06/01/2021 |
| Certification Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184290199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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