Big Horn Basin Counseling Services | |
116 South 3rd Basin WY 82410 | |
(307) 568-2020 | |
(307) 568-2503 |
Full Name | Big Horn Basin Counseling Services |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 116 South 3rd, Basin, Wyoming |
Authorized Official Name and Position | Autumn Marie Snyder (ADMINISTRATIVE ASSISTANT) |
Authorized Official Contact | 3075486543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Big Horn Basin Counseling Services 1114 Lane 12 Lovell WY 82431-9555 Ph: (307) 548-6543 | Big Horn Basin Counseling Services 116 South 3rd Basin WY 82410 Ph: (307) 568-2020 |
NPI Number | 1144373440 |
---|---|
Provider Enumeration Date | 01/19/2007 |
Last Update Date | 10/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144373440 | NPI | - | NPPES |
106515702 | Medicaid | WY | |
106515705 | Medicaid | WY | |
106515706 | Medicaid | WY | |
106515703 | Medicaid | WY | |
106515700 | Medicaid | WY | |
106515701 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Wyoming) | Primary |
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