Organization
MAGELLAN HEALTHCARE OF WYOMING
Active
Other names
Blue Sky Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA HERON M.D. (MANAGING DIRECTOR)
(307) 851-3955
Entity
Organization
Contact information
Practice address
625 E MADISON AVE STE 6, RIVERTON, WY 82501-4712
(307) 851-3955
Mailing address
625 E MADISON AVE STE 6, RIVERTON, WY 82501-4712
(307) 851-3955
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
WY
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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