Organization
H.O.P.E. COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY M BOLTIN LPC (THERAPIST)
(307) 689-9090
Entity
Organization
Contact information
Practice address
113 S GILLETTE AVE, 216, GILLETTE, WY 82716-3740
(307) 689-9090
(307) 689-9090
Mailing address
PO BOX 227, ROZET, WY 82727-0227
(307) 689-9090
(307) 689-9090
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1475
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083985733
UNITED HEALTH
WY
05
—
1083985733
—
WY
Enumeration date
06/18/2015
Last updated
06/18/2015
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