| Tlc Counseling Llc | |
|
316 Broadway St Suite #2 Thermopolis WY 82443-2740 | |
| (307) 864-3211 | |
| (307) 864-3267 |
| Full Name | Tlc Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 316 Broadway St, Thermopolis, Wyoming |
| Authorized Official Name and Position | Tonja L. Casciato (OWNER/THERAPIST) |
| Authorized Official Contact | 3078643211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Counseling Llc 640 Fremont St Thermopolis WY 82443-2915 Ph: (307) 864-9382 | Tlc Counseling Llc 316 Broadway St Suite #2 Thermopolis WY 82443-2740 Ph: (307) 864-3211 |
| NPI Number | 1922498930 |
|---|---|
| Provider Enumeration Date | 01/28/2015 |
| Last Update Date | 01/28/2015 |
| Medicare PECOS PAC ID | 5799080263 |
|---|---|
| Medicare Enrollment ID | O20160222000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922498930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCSW 660 (Wyoming) | Primary |
| Provider Name | Tonja Lynn Casciato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316274467 PECOS PAC ID: 6608171178 Enrollment ID: I20160222000228 |
Yun-ju Cheng, Ph.d. Psychologist, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1020 Owl Creek Rd, Thermopolis, WY 82443 Phone: 307-921-0003 |