| Pathway, Inc. | |
|
1575 N 4th St Suite #103 Laramie WY 82072-2091 | |
| (307) 721-0700 | |
| (307) 721-1039 |
| Full Name | Pathway, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1575 N 4th St, Laramie, Wyoming |
| Authorized Official Name and Position | Kay Lynn Hammer (OWNER) |
| Authorized Official Contact | 3077210700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway, Inc. 1575 N 4th St Suite #103 Laramie WY 82072-2091 Ph: (307) 721-0700 | Pathway, Inc. 1575 N 4th St Suite #103 Laramie WY 82072-2091 Ph: (307) 721-0700 |
| NPI Number | 1588765069 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 09/06/2016 |
| Medicare PECOS PAC ID | 1254348626 |
|---|---|
| Medicare Enrollment ID | O20060309000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588765069 | NPI | - | NPPES |
| 05617001 | Other | WY | BLUE CROSS BLUE SHEILD |
| 119619700 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sherri D Hogsett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881799914 PECOS PAC ID: 8527419126 Enrollment ID: I20240108005923 |
| Provider Name | Shelly Shepherd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396197638 PECOS PAC ID: 0244681849 Enrollment ID: I20240108005975 |
| Provider Name | Juli A Larsen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629170493 PECOS PAC ID: 6305298852 Enrollment ID: I20240119002356 |
| Provider Name | Glenn Hammer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396846879 PECOS PAC ID: 9335156702 Enrollment ID: I20240123001259 |
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