Organization
FREMONT COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT HAYES (EXECUTIVE DIRECTOR)
(307) 332-2231
Entity
Organization
Contact information
Practice address
748 MAIN ST, LANDER, WY 82520-3036
(307) 332-2231
(307) 332-9338
Mailing address
748 MAIN ST, LANDER, WY 82520-3036
(307) 332-2231
(307) 332-9338
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106088100
—
WY
05
—
106088104
—
WY
05
—
106088106
—
WY
05
—
106088107
—
WY
Enumeration date
06/28/2005
Last updated
02/04/2016
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