| Sheridan Counseling Practice, Llc | |
|
1949 Sugarland Dr Ste 152 Sheridan WY 82801-5720 | |
| (307) 461-0818 | |
| (307) 448-4800 |
| Full Name | Sheridan Counseling Practice, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1949 Sugarland Dr Ste 152, Sheridan, Wyoming |
| Authorized Official Name and Position | Beth A Lenz (LICENSE PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3074610818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheridan Counseling Practice, Llc 1949 Sugarland Dr Ste 152 Sheridan WY 82801-5720 Ph: (307) 461-0818 | Sheridan Counseling Practice, Llc 1949 Sugarland Dr Ste 152 Sheridan WY 82801-5720 Ph: (307) 461-0818 |
| NPI Number | 1437696382 |
|---|---|
| Provider Enumeration Date | 01/30/2017 |
| Last Update Date | 07/26/2024 |
| Certification Date | 07/26/2024 |
| Medicare PECOS PAC ID | 1254776941 |
|---|---|
| Medicare Enrollment ID | O20240305000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437696382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC 1614 (Wyoming) | Primary |
| Provider Name | Beth A Lenz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528406071 PECOS PAC ID: 2163867854 Enrollment ID: I20240305000142 |
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