| Path Behavioral Health Wyoming Llc | |
|
431 Main St Lander WY 82520-3145 | |
| (307) 851-3111 | |
| Not Available |
| Full Name | Path Behavioral Health Wyoming Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 431 Main St, Lander, Wyoming |
| Authorized Official Name and Position | Morgan Falls (BUSINESS MANAGER) |
| Authorized Official Contact | 3073498521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path Behavioral Health Wyoming Llc 431 Main St Lander WY 82520-3145 Ph: (307) 851-3111 | Path Behavioral Health Wyoming Llc 431 Main St Lander WY 82520-3145 Ph: (307) 851-3111 |
| NPI Number | 1720658842 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720658842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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