| Trauma And Beyond - Wellness Center Llc | |
|
2710 Thomes Ave Cheyenne WY 82001-3029 | |
| (307) 200-7184 | |
| Not Available |
| Full Name | Trauma And Beyond - Wellness Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2710 Thomes Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | Lauren Smith (THERAPIST, OWNER) |
| Authorized Official Contact | 3072871170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma And Beyond - Wellness Center Llc 3677 Patrick Rd Cheyenne WY 82007-1177 Ph: (307) 287-1170 | Trauma And Beyond - Wellness Center Llc 2710 Thomes Ave Cheyenne WY 82001-3029 Ph: (307) 200-7184 |
| NPI Number | 1760107817 |
|---|---|
| Provider Enumeration Date | 10/11/2022 |
| Last Update Date | 10/11/2022 |
| Certification Date | 10/10/2022 |
| Medicare PECOS PAC ID | 9032588926 |
|---|---|
| Medicare Enrollment ID | O20221215002833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760107817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lauren A Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043662737 PECOS PAC ID: 0244664381 Enrollment ID: I20191226001837 |
| Provider Name | Anastasia Beatrice Pipp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568118446 PECOS PAC ID: 3779018882 Enrollment ID: I20241126004063 |
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