Shine Forth Llc - Mental Health Clinic in Cheyenne, WY

Shine Forth Llc is a mental health clinic (Counselor - Professional) in Cheyenne, Wyoming. The current practice location for Shine Forth Llc is 6710 Willshire Blvd, Cheyenne, Wyoming. For appointments, you can reach them via phone at (719) 248-1789. The mailing address for Shine Forth Llc is 6710 Willshire Blvd, Cheyenne, Wyoming and phone number is (719) 248-1789.

Shine Forth Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1528667201. 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 (719) 248-1789.

Contact Information

Shine Forth Llc
6710 Willshire Blvd
Cheyenne
WY 82009-2757
(719) 248-1789
(307) 514-1080

Mental Health Clinic Profile

Full NameShine Forth Llc
SpecialityCounselor - Professional
Location6710 Willshire Blvd, Cheyenne, Wyoming
Authorized Official Name and PositionJudiann Bryant (LPC/PROVIDER)
Authorized Official Contact7192481789
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shine Forth Llc
6710 Willshire Blvd
Cheyenne
WY 82009-2757

Ph: (719) 248-1789
Shine Forth Llc
6710 Willshire Blvd
Cheyenne
WY 82009-2757

Ph: (719) 248-1789

NPI Details:

NPI Number1528667201
Provider Enumeration Date10/22/2020
Last Update Date10/22/2020
Certification Date10/22/2020

Medical Identifiers

Medical identifiers for Shine Forth Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528667201NPI-NPPES
153780600MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Primary

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