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Organization
COLORFUL MINDS
Active
Organization
COLORFUL MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK BERGH LPC (OWNER)
(307) 797-2398
Entity
Organization
Contact information
Practice address
701 ANTLER DR STE 201, CASPER, WY 82601-1749
(307) 797-2398
Mailing address
701 ANTLER DR STE 201, CASPER, WY 82601-1749
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/23/2024
Last updated
10/06/2025
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