Brain Advancement Center, Llc | |
2005 Warren Ave. Cheyenne WY 82001 | |
(307) 274-4749 | |
(307) 274-4749 |
Full Name | Brain Advancement Center, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2005 Warren Ave., Cheyenne, Wyoming |
Authorized Official Name and Position | Tammi R. Miller (OWNER) |
Authorized Official Contact | 3072744749 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brain Advancement Center, Llc 2005 Warren Ave Cheyenne WY 82001 Ph: (307) 274-4749 | Brain Advancement Center, Llc 2005 Warren Ave. Cheyenne WY 82001 Ph: (307) 274-4749 |
NPI Number | 1194382150 |
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Provider Enumeration Date | 05/24/2019 |
Last Update Date | 10/27/2020 |
Certification Date | 10/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194382150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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› Verified 1 days ago
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