NPI 1164783916

Specialty Counseling

Organisation Community/Behavioral Health Agency Cheyenne, WY

Practice location

Address: 4025 Rawlins St., Cheyenne, WY 82001
Phone: (307) 424-7986
Fax: (307) 426-4799

Authorised official

Name: Samantha S Cowper
Title: Mental Health Counseling
Phone: (307) 399-0575

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence PPC-581 (WY)

Other Community/Behavioral Health providers in Wyoming →

Registry record

NPI: 1164783916
Entity type: Organization
NPI issued: 7 Jun 2012
Record last updated: 7 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.