# COMPLETE CARE COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972854800
- **Authorized official:** MS. CODIE LYNN WALLACE LCSW (OWNER)
- **Authorized official phone:** (307) 797-1726

## Contact information

- **Practice address:** 2510 E 15TH ST, SUITE 11, CASPER, WY 82609-4111
- **Practice address phone:** (307) 234-9979
- **Practice address fax:** (307) 234-9989
- **Mailing address:** 2510 E 15TH ST, SUITE 11, CASPER, WY 82609-4111
- **Mailing address phone:** (307) 234-9979
- **Mailing address fax:** (307) 234-9989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | LCSW 800 | WY | Yes |

## Other

- **Enumeration date:** 10/02/2012
- **Last updated:** 10/02/2012