Organization
SKYLINE MENTAL HEALTH SERVICES LLC
Active
Parent organization
SKYLINE MENTAL HEALTH SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKYLINE MENTAL HEALTH SERVICES LLC
Authorized official
ANGELENE ROUNDS LCSW-784 (CLINICAL DIRECTOR)
(307) 350-8759
Entity
Organization
Contact information
Practice address
1471 DEWAR DR STE 232, ROCK SPRINGS, WY 82901-5885
(307) 350-8759
(307) 215-8337
Mailing address
1471 DEWAR DR STE 232, ROCK SPRINGS, WY 82901-5885
(307) 350-8759
(307) 215-8337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972734283
BLUE CROSS BLUE SHIELD WYOMING
WY
Enumeration date
08/18/2020
Last updated
08/21/2020
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