| Peaceful Minds Wellness Center | |
|
1300 E A St Ste 101 Casper WY 82601-2211 | |
| (307) 224-2484 | |
| (307) 222-7784 |
| Full Name | Peaceful Minds Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 E A St Ste 101, Casper, Wyoming |
| Authorized Official Name and Position | Brian Frausto (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3072242484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Minds Wellness Center Po Box 51122 Casper WY 82605-1122 Ph: (307) 224-2484 | Peaceful Minds Wellness Center 1300 E A St Ste 101 Casper WY 82601-2211 Ph: (307) 224-2484 |
| NPI Number | 1700258514 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 2567749443 |
|---|---|
| Medicare Enrollment ID | O20170502000928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700258514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 24845.1260 (Wyoming) | Primary |
| Provider Name | Jennifer N Frausto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205268513 PECOS PAC ID: 0749416055 Enrollment ID: I20131114001767 |
| Provider Name | Kelly M Eckes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932620002 PECOS PAC ID: 3678844164 Enrollment ID: I20171027002270 |
| Provider Name | Timothy Joseph Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932742210 PECOS PAC ID: 3678991155 Enrollment ID: I20200915002899 |
| Provider Name | Rebekah J Layher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447830047 PECOS PAC ID: 2365814035 Enrollment ID: I20230206001515 |
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