Equality State Infection Foundation - Mental Health Clinic in Casper, WY

Equality State Infection Foundation is a mental health clinic (Internal Medicine - Infectious Disease) in Casper, Wyoming. The current practice location for Equality State Infection Foundation is 5810 E 2nd St Ste 200, Casper, Wyoming. For appointments, you can reach them via phone at (307) 234-8710. The mailing address for Equality State Infection Foundation is 5810 E 2nd St Ste 200, Casper, Wyoming and phone number is (307) 234-8710.

Equality State Infection Foundation is licensed to practice in * (Not Available) (license number ) and its NPI number is 1104062314. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (307) 234-8710.

Contact Information

Equality State Infection Foundation
5810 E 2nd St Ste 200
Casper
WY 82609-4330
(307) 234-8710
(307) 237-0326

Mental Health Clinic Profile

Full NameEquality State Infection Foundation
SpecialityInternal Medicine - Infectious Disease
Location5810 E 2nd St Ste 200, Casper, Wyoming
Authorized Official Name and PositionLisa Marie Willette (COO, CFO)
Authorized Official Contact3072348710
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Equality State Infection Foundation
5810 E 2nd St Ste 200
Casper
WY 82609-4330

Ph: (307) 234-8710
Equality State Infection Foundation
5810 E 2nd St Ste 200
Casper
WY 82609-4330

Ph: (307) 234-8710

NPI Details:

NPI Number1104062314
Provider Enumeration Date12/18/2008
Last Update Date12/18/2008

Medical Identifiers

Medical identifiers for Equality State Infection Foundation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104062314NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
133V00000XDietitian, Registered (* (Not Available))Secondary
163WC0400XRegistered Nurse - Case Management (* (Not Available))Secondary
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Primary
252Y00000XEarly Intervention Provider Agency (* (Not Available))Secondary

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