| Quality Mental Health | |
|
4025 Rawlins St Cheyenne WY 82001-1900 | |
| (307) 426-4798 | |
| (307) 426-4799 |
| Full Name | Quality Mental Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4025 Rawlins St, Cheyenne, Wyoming |
| Authorized Official Name and Position | Bob Logan (OWNER/LICENSED PROFESSIONAL COUNSEL) |
| Authorized Official Contact | 3074264798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Mental Health 4025 Rawlins St Cheyenne WY 82001-1900 Ph: (307) 426-4798 | Quality Mental Health 4025 Rawlins St Cheyenne WY 82001-1900 Ph: (307) 426-4798 |
| NPI Number | 1467791293 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 02/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467791293 | NPI | - | NPPES |
| 16662500 | Medicaid | WY | |
| 310021 | Other | WY | BCBS OF WYOMING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-455 (Wyoming) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | LPC-455 (Wyoming) | Secondary |
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