Wyo Way Healing, Llc | |
114 N Bent St Powell WY 82435-2712 | |
(307) 899-1047 | |
(307) 464-3449 |
Full Name | Wyo Way Healing, Llc |
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Speciality | Counselor |
Location | 114 N Bent St, Powell, Wyoming |
Authorized Official Name and Position | Heather Bales (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 3078991047 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wyo Way Healing, Llc 114 N Bent St Powell WY 82435-2712 Ph: (307) 899-1047 | Wyo Way Healing, Llc 114 N Bent St Powell WY 82435-2712 Ph: (307) 899-1047 |
NPI Number | 1063181444 |
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Provider Enumeration Date | 09/09/2021 |
Last Update Date | 10/08/2021 |
Certification Date | 10/08/2021 |
Medicare PECOS PAC ID | 1951790591 |
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Medicare Enrollment ID | O20211119001089 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063181444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Heather Marie Bales |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447641774 PECOS PAC ID: 0648596007 Enrollment ID: I20150302000643 |
Provider Name | Hannah C Winland |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558902676 PECOS PAC ID: 2961834817 Enrollment ID: I20191114000010 |
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