Foundations Of Hope, Health, And Wellness, Llc | |
800 Werner Ct Suire 205e Casper WY 82601-1326 | |
(850) 274-7299 | |
Not Available |
Full Name | Foundations Of Hope, Health, And Wellness, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 800 Werner Ct, Casper, Wyoming |
Authorized Official Name and Position | Lisa Lynne Love (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 8502747299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Foundations Of Hope, Health, And Wellness, Llc 2045 Laramie Ave Casper WY 82604-3003 Ph: (850) 274-7299 | Foundations Of Hope, Health, And Wellness, Llc 800 Werner Ct Suire 205e Casper WY 82601-1326 Ph: (850) 274-7299 |
NPI Number | 1346787314 |
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Provider Enumeration Date | 01/27/2017 |
Last Update Date | 01/27/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346787314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1031 (Wyoming) | Primary |
1041C0700X | Social Worker - Clinical | 13189 (Florida) | Secondary |
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