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Organization

SPEAK LIFE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HANNAH STUART-WALKER (OFFICE ADMINISTRATOR)
(307) 426-4204
Entity
Organization

Contact information

Practice address
1816 E 17TH ST, CHEYENNE, WY 82001-5010
(307) 426-4204
Mailing address
1816 E 17TH ST, CHEYENNE, WY 82001-5010
(307) 426-4204

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
01/08/2019
Last updated
12/11/2023
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